Age of house:
years |
How many people/pets in your household? |
| Adults:
Teenagers:
Children:
Pets: |
Are
any person disabled or have special needs:
If yes, please describe: |
| How
many persons prepare meals at the same time? |
| Are
they: Left handed
Right handed |
| Height
of Cook(s): |
What are the problems with your present kitchen? |
| |
Insufficient
storage |
| |
Insufficient
counter space |
| |
Inefficient
layout |
| |
Insufficient
seating |
| |
Insufficient
electrical outlets |
| |
Inadequate
natural light |
| |
Inadequate
lighting fixtures |
| |
Inaccessible
corners |
| |
Outdated |
| |
Do
not like cabinets / countertops |
| |
Wall
cabinets too high / low |
| |
Countertops
too high / low |
| |
Other: |
|
How often do you cook? |
times per day / week |
| Gourmet
dishes |
|
| Specialty
cooking |
|
| Canning |
|
How often do you bake? |
times per day / week |
| How
often do you entertain? |
times per day / week |
| Dinner
parties |
|
| Buffet
Dinners |
|
| Casual
with snacks |
|
|
Do you
have any specific ideas for your new kitchen? |
| Do
you have any sketches or pictures? |
| Style
preference: |
|
Traditional |
|
|
Contemporary |
|
|
Country |
|
|
Sleek
European |
|
|
Other |
|
What
activities take place in your kitchen? |
| |
Eating |
|
Plant
Potting |
| |
Studying |
|
Child's
play |
| |
Sewing |
|
Computer
work |
| |
Bill
Paying |
|
Crafts |
| |
Laundry |
|
Hobbies |
| |
Cake
Decorating |
|
TV
watching |
|
| Other: |
Type of eating area desired: |
| Table
and chairs to seat |
|
number
of people |
| Snack
bar / counter to seat |
|
number
of people |
| Both
if possible |
|
|
|
Specialized
storage desired: |
| |
Pantry
cabinet / closet |
|
Cookbook |
| |
Tall
cleaning equipment |
|
Open
shelving |
| |
Recycling
bins |
|
Roll
out shelves |
| |
Wastebasket
cabinet |
|
Trays |
| |
Small
appliances |
|
Tilt
out soap tray |
| |
Appliance
garage |
|
Under
sink rack |
| |
Towel
bar |
|
Cutting
Board |
| |
Glass
Door Inserts |
|
Cutlery
divider |
| |
Linens |
|
Spice
rack |
| |
Vegetables |
|
Wine
Rack |
| |
Lazy
Susan Corner wall cabinet |
|
Lazy
Susan Corner base cabinet |
| |
Breadbox
Drawer |
|
Other |
|
Would
you consider changing the location of: |
| |
Doors |
|
Appliances |
|
Heat |
| |
Windows |
|
Sink |
|
|
|
Do you anticipate enlarging the size of your
kitchen? |
| |
By
building an addition |
| |
Using
space of an adjoining room |
|
| Ceiling
height of kitchen: |
| What
is below kitchen?: |
| |
Unfinished
basement |
|
Garage |
| |
Finished
basement with
dropped ceiling |
|
Concrete
slab |
| |
Finished
basement with
plastered ceiling |
|
|
|
| What
is above kitchen?: |
| |
bathroom |
|
other
rooms |
|
attic |
| |
crawl
space |
|
cathedral
ceiling |
|
|
|
Items to
be replaced or added: |
| Cabinets: |
| Wood: |
(species) |
Painted: |
(color) |
Laminate: |
(color) |
|
|
Countertops: |
| |
Laminate |
|
Laminate
with wood edge |
|
|
|
Laminate
with beveled edge |
|
|
|
Laminate
with Corian edge |
| |
Solid
Surface |
|
|
| |
Ceramic
Tile |
|
|
| |
Granite |
|
|
| |
Marble |
|
|
| |
Wood |
|
|
|
|
Backsplash: |
| |
Full
backsplash same as countertop material |
| |
Full
tile backsplash
4" backsplash |
|
Soffit
(area above wall cabinets): |
| |
Open |
|
Cabinets
to celing |
| |
Closed |
|
Wood
to match cabinets |
|
|
|
Paint
/ wallpaper |
|
|
|
Existing
wallboard soffit |
|
Lighting: |
| |
Add
additional |
|
Use
existing |
| |
Recessed
ceiling fixtures |
|
Under
cabinet |
| |
General
ceiling lighting |
|
Over
sink |
|
Electrical: |
| Additional
outlets |
|
| Upgrade
service |
|
| Location
of Main electrical box |
|
| Do
you have Circuit Breakers? |
|
| Fuses? |
|
| Service
into home: |
amps |
|
Floor
Covering: |
| |
New |
|
Ceramic
tile |
| |
Use
existing |
|
Wood |
| |
Vinyl
sheet |
|
Laminated |
|
New Windows: |
| |
Double
hung |
|
Awning |
| |
Casement |
|
Bay
/ bow double hung |
| |
Sliding |
|
Bay
/ bow casement |
|
New Doors: |
| |
Standard
entry |
|
Recessed
panel |
| |
Flush |
|
Glass |
| |
Raised
panel |
|
Bitfold |
| |
Folding |
|
Sliding |
| |
Pocket |
|
|
|
|
Appliances
(Complete as much information as possible,
whether using existing or purchasing new): |
Sink: |
| |
New |
|
Existing |
| |
Set-in |
|
1
1/2 bowl |
| |
Undermounted |
|
Double |
| |
Single |
|
Triple |
| |
Enameled
cast iron |
|
Drainboard |
|
|
|
Stainless
steel |
|
|
|
Corian
/ other
solid surface material |
|
Faucet: |
| |
New |
|
Existing |
| |
Single
lever |
|
Two
handles |
| |
Separate
spray |
|
Integral
spray |
| |
High
spout |
|
Soap
dispenser |
| |
Chrome |
|
Brass |
| |
Stainless
Steel |
|
Colored |
|
Range / oven / cooktop: |
| |
New |
|
Existing |
| |
Freestanding
range |
|
Slide-in
range |
| |
2
ovend |
|
1
oven |
| |
Oven
size: |
|
Electric |
| |
Burners |
|
Gas |
| |
Cooktop
with separate
wall oven |
|
Grill |
|
Exhaust: |
| |
New |
|
Existing |
| |
Hood |
|
Venting
outside desired |
|
|
|
Downdraft |
|
Microwave oven: |
| |
New |
|
Existing |
| |
Width
Height |
|
Depth
Vent Location: |
| |
Use
on Countertop |
|
Build
into wall cabinet |
| |
Built
into oven cabinet (above single wall oven) |
| |
Oven
cooktop / range (requires microwave / vent
combination) |
|
Refrigerator: |
| |
New |
|
Existing |
| |
Width
Height |
|
Depth
Vent Location: |
| |
Top
/ bottom freezer |
|
Side
by side |
| |
Freestanding |
|
Icemaker |
| |
Built-in |
|
Front
to match cabinets |
|
Separate freezer: |
| |
New |
|
Existing |
| |
Width
Height |
" |
Depth
" |
|
Vent
Location: |
|
|
| |
Not
in kitchen |
|
|
|
Dishwasher: |
| |
New |
|
Existing |
| |
Front
to match cabinets |
|
|
|
Compactor: |
| |
New |
|
Existing |
| |
"
Wide |
|
|
| |
Front
to match cabinets |
|
Do
not want compactor |
|
Garbage disposer: |
| |
New
Existing |
| |
Do
you have a septic system? |
| |
Do
not want disposer |
|
Instant Hot Water Dispenser: |
| |
New
Existing |
| |
Do
not want hot water dispenser |
|
Water Cooler: |
| |
New |
|
Existing |
|
Height |
" |
Depth
" |
|
Wide |
" |
|
| |
Do
not want cooler |
|
|
|
Water Purifier: |
|
|
Color Preference for Major Appliances: |
Other: |
Kitchen Remodeling Budget for the total
project. This information is essential to assure
that our recommendations are consistent with your
preferred budget for this project. |
| |
$15,000 |
|
$40,000 |
| |
$20,000 |
|
$50,000 |
| |
$25,000 |
|
$60,000 |
| |
$30,000 |
|
$70,000 |
| |
$35,000 |
|
$80,000 |
| |
Other: |
|
|
|