1.

Family members:      

2.

Approximate ages of family members:

Children                       Adults
Age___  Sex___           Age___  Sex___
Age___  Sex___           Age___  Sex___
Age___  Sex___           Age___  Sex___
Age___  Sex___           Age___  Sex___

3.

How long do you plan on living in the home you are remodeling/building?

__ 1 to 5 yrs      __ 6 to 10 yrs
__ 11 to 20 yrs   __ 20+

4.

Where does your family eat its meals?

__ Kitchen    __ Dining Room
__ Other:________________

5.

Where will your family eat after you remodel/build? 

__ Kitchen    __ Dining Room
__ Other:________________

6.

Do you require a kitchen table or would you be willing to explore other options if a design could be improved?

__ Required
__ Preferred, but open to other options
__ Not necessary

7.

What other activities will take place in your new kitchen?

8.

After your remodel/build, will you entertain frequently?    
 __ Yes    __ No 

If Yes,

What is your entertaining style?

__ Formal    __ Informal

Do you have large or small gatherings?

__ Large or __ Small 

Do your guests help you in the kitchen when you entertain?

 __ Yes    __ No

9.

How do you shop?

__ For the week       

__ For each meal   

__ Buy non-perishable items in bulk 

__ Buy in bulk and freeze

If you buy in bulk, do you require storage in the kitchen for all or most of these items?

__ Yes    __ No

1.

Who is the primary cook? _________________________      

2.

Is the primary cook

__ Left-handed or __ Right-handed? 

3.

How tall is the primary cook? ___________

4.

What is the primary cook's cooking style? 

5.

What does the primary cook prefer?

__ No one else in the kitchen while preparing meals.
__ A helper in the kitchen while preparing meals.
__ Family or friends visiting during meal preparation. 

6.

Does the primary cook have any physical limitations?

__ Yes __ No    What type?_________________________

7.

Is there a secondary cook?

__ Yes __ No

8.

If there is a secondary cook, are they

__ Left-handed or __ Right-handed? 

9.

How tall is the secondary cook? ________ 

10.

Do the primary and secondary cooks prepare meals together?
__ Yes __ No 

11.

What are the secondary cook's responsibilities?

12.

Does the secondary cook have any physical limitations?

__ Yes __ No    What type?_________________________

1.

What are your color preferences for your new kitchen? _________________________

2.

Which colors do you not want in your new kitchen? _________________________

3.

Have you created a scrapbook of notes, photos, and ideas that you would like to use in your new kitchen?

__ Yes    __ No 

4.

If a design could be greatly improved, would you be willing to make structural changes? (i.e. moving windows, doors, and walls) 

__ Yes __ No 

5.

What do you like about your current kitchen?

6.

What do you dislike about your current kitchen? 

7.

Do you require a recycling center in your kitchen? 

__ Yes    __ No

If Yes, how many separate bins do you need for sorting items? ___

8.

Will you be keeping your existing appliances? 

9.

What is your style preference for your new kitchen? 

__ Contemporary    __ Formal
__ Country              __ Traditional

1.

When would you like to begin your project? _________________________

2.

When would you like your project completed? _________________________

3.

If you are building, is the kitchen in your contract?
__ Yes    __ No 

4.

Do you have a budget for this project?
__ Yes:  $ ________________      __  No

1.

Name:

2.

Address:

3.

City/ State/ Zip:

4.

Home Phone:

5.

Work Phone:

6.

Fax:

7.

New Home Address:

8.

City/ State/ Zip:

9.

Builder Name (if applicable):

10.

Contact Name:

11.

Phone:

12.

Fax:

13.

Architect Name (if applicable):

14.

Contact Name:

15.

Phone:

16.

Fax:

17.

Interior Designer Name (if applicable):

18.

Contact Name:

19.

Phone:

20.

Fax:

  
info@ljskitchens.com     Scott Holmes ( scott@ljskitchens.com )     Steven Garner ( steveg@ljskitchens.com )    
Steve Langlois ( stevel@ljskitchens.com )      Karen Langell ( karen@ljskitchens.com  )     
Rob Gurski ( rob@ljskitchens.com )