Kitchen Planning Questionnaire

General Information:
Name: __________________________________________________________
Address: ________________________________________________________
City & Zip: _______________________________________________________
Home Phone: ____________________________________________________
Mobile Phone: ____________________________________________________
Fax: ____________________________________________________________

Primary Cook:
Age___     Height___     Male or Female    
Right-handed    or    Left-handed

Secondary Cook:
Age___     Height___      Male or Female    
Right-handed    or    Left-handed

Other Family Members: 
Age___     Male or Female
Age___     Male or Female
Age___     Male or Female
Age___     Male or Female
Age___     Male or Female
Age___     Male or Female

1. How long do you plan on living in the home you are remodeling/building?
1 – 5 years     6 – 10 years     11 – 20 years     20 + years

2. Where will your family primarily eat after you remodel/build?
Kitchen Table     Island     Dining Room     Other: __________

3. Will you require a kitchen table?     YES     NO

4. What other activities will take place in your new kitchen?
Laundry     Homework     Watching TV
Paying Bills     Computer work     Other: _______________

5. What is your entertainment style?
Formal     Semi-Formal     Informal

6. After you remodel/build will you entertain frequently?
YES     NO     If yes, how often? _____/year

7. Do your guests help you in the kitchen?     YES     NO

8. What size are your gatherings?
Small (up to 10 people)     Medium (10-20 people)     Large (20+ people)

9. How do you grocery shop?
a. for the week     b. for each meal
c. buy canned/boxed items in bulk     d. buy in bulk and freeze

10. Does the primary cook have any physical limitations?
YES     NO     If yes, what type? _______________

11. If a design could be greatly improved, would you be willing to make structural changes? (i.e. moving windows, doors, or walls) 
YES     NO     If yes, what changes? ________________

12. What do you like/dislike about your current kitchen?
Like: ________________________________________________________
_____________________________________________________________
_____________________________________________________________

Dislike: ______________________________________________________
_____________________________________________________________
_____________________________________________________________

13. Which of your existing appliances will you be using in your new kitchen?
Dishwasher     Refrigerator     Oven     Range/Cooktop     Microwave

14. If known, which new appliances will you be purchasing? 
Dishwasher Make: _______________ Model #: ________________________
Refrigerator Make: _______________ Model #: ________________________
Range Make: _______________ Model #: ____________________________
Cooktop Make: _______________ Model #: __________________________
Oven Make: _______________ Model #: _____________________________
Microwave Make: _______________ Model #: ________________________
Other: _________ Make: _______________ Model #: __________________
Other: _________ Make: _______________ Model #: __________________

15. Do you have a budget for this project?
YES: ____________     NO

16. How did you hear about us? 
Magazine Ad     Phonebook     Website 
A Friend or Relative     Saw our sign     Other:_______________

Design Features

Cabinetry Wood Preference:
Cherry     Maple     Oak     Pine     Birch
Hickory     Paint Grade Wood     MDF     Other:__________

Finish Preference:
Stain     Stain with Glaze     Paint     Paint with Glaze     Other:__________

Cabinetry Door Style:
Flat Panel     Raised Panel     Other:__________

Cabinetry Overlay Style:
Square Inset     Beaded Inset     Full Overlay     Traditional Overlay
Other:__________

Please CIRCLE the number that applies to your new kitchen project.

1- Very Important     2- Somewhat Important     
3- Not Important       4-Not Applicable

Pull-out Trash   1     2     3     4   _____________________________________

Recycling Center   1     2     3     4   __________________________________

Vegetable Sink   1     2     3     4   ____________________________________

Cutlery Dividers   1     2     3     4   ___________________________________

Tray Dividers   1     2     3     4   _____________________________________

Roll-Out Trays   1     2     3     4   ____________________________________

Island   1     2     3     4   ___________________________________________

Bar Seating   1     2     3     4   ______________________________________

Glass Doors   1     2     3     4   _____________________________________

Appliance Panels   1     2     3     4   __________________________________

Spice Storage   1     2     3     4   ____________________________________

Wine Storage   1     2     3     4   _____________________________________

Open Shelving   1     2     3     4   ____________________________________

Other Features:___________________________________________________

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