Kitchens of Diablo

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Number of family members:

Number and approximate ages of family members:

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

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+

Where does your family eat its meals?

__ Kitchen __ Dining Room
__ Other:________________

Where will your family eat after you remodel/build?

__ Kitchen __ Dining Room
__ Other:________________

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

__ A kitchen table is required
__ Preferred but open to other options
__ Not necessary

What other activities will take place in your new kitchen?

__	Laundry	__	Homework	__	Watching TV
__	Paying Bills	__	Sewing	__	Computer Center
__	Other:

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

If Yes... What is your entertainment 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

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

Who is the primary cook?

Is the primary cook

__ left handed or __ right handed?

How tall is the primary cook?

What is the primary cook's cooking style?

__	Gourmet Meals	__	Family Meals
__	Quick & Simple Meals	__	Baking
__	Bringing Meals Home

What does the primary cook prefer?

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

Does the primary cook have any physical limitations?

__ Yes __ No What type?_________________________

Is there a secondary cook?

__ Yes __ No

If there is a secondary cook, which are they

__ left handed or __ right handed?

How tall is the secondary cook? ________

10.

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

11.

What are the secondary cook's responsibilities?

__	Preparing side dishes	__	Clean up
__	Assist in preparing main course

12.

Does the secondary cook have any physical limitations?

__ Yes __ No What type?_________________________

What are your color preferences for your new kitchen?

Are there colors you would not want in your new kitchen?

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

__ Yes __ No

If a design could be greatly improved, would you be willing to make structural changes?

(i.e. moving windows, doors, and walls)
__ Yes __ No

What do you like about your current kitchen?

What do you dislike about your current kitchen?

Do you require a recycling center in your kitchen?

__ Yes __ No

If Yes... How many items do you need to sort? ___

Will you be keeping your existing appliances?

Dishwasher:	__	existing	__	new
Refrigerator:	__	existing	__	new
Oven/Range:	__	existing	__	new
Microwave:	__	existing	__	new

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:

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