Your contact information. (We do not share your contact information with anyone. Please read our privacy disclosures for more information on how we guard your privacy.)

Your Name:
	First	Last
Spouse or Other Name (If applicable):
	First	Last
Mailing Address:
	Street Address, P O Box or Rural Route
City/State/Zip:
	City or Post Office	State	Zip
Best Daytime Telephone:
Other Telephone:
e-Mail:

Your Existing Kitchen, Family and Lifestyle
This section contains questions about your family, it size and composition; the age and structural condition of your existing kitchen and how it is used.

1.	Number of adults in your household?
2.	Number of children in your household?
3.	Age range of children (if none, leave blank).				to
4.	Does anyone have a physical limitation that may require structural accommodation? Yes No If "yes", please describe the limitation.
5.	Height of the principal kitchen user.				feet inches
6.	Is the principal user right or left handed?				Right Left
7.	How many people typically prepare food at one time?
8.	Special food preparation or storage needs
	Baking Center Canning Center Pet Food Storage Appliance Storage Prep Sink Walk-in Pantry In-Door Storage Pan Rack Kosher Kitchen Halal Diet Other:
9.	Does your current kitchen have an island or peninsula cabinet? Yes No
10.	Do you plan to eat in your kitchen? Yes No (If "No" skip to question 11)
A.	How many people can be seated in your kitchen at one time?
B.	Describe your kitchen eating facilities. (Please check all that apply) Table Eating Counter Built in Banquette Other:
C.	Do you have a separate dining room or other indoor eating area outside of the kitchen? Yes No
11.	Besides food preparation and eating, are other activities commonly performed in your kitchen (homework, office, hobbies, etc.)? Yes No If "yes", please describe
12.	Do you entertain frequently? Yes No

Your New Kitchen
The following section contains questions about your preferences for your new kitchen. Some of the terminology may be unfamiliar to you. If you don't understand the question, or have not yet decided on an answer, just leave it blank.

1.	What are the primary reasons you want to remodel your kitchen? (Check all that apply)
	More counter space More storage		More seating More floor space		Dated look Other:

2.	What would you most like to change about your existing kitchen (i.e. add more floor space, remove soffits, add island, change layout, add counter space...)?

3.	What general cabinet style best describes your favorite kitchen?
	Colonial Country Craftsman/Mission Mediterranean Euro-Look Southwestern Other:

4.	What cabinet door and drawer material do you prefer?
	Natural Wood Laminate Thermofoil Stainless/Aluminum Glass Other:

	A.	What type of wood do you like best?
		Ash Birch Cherry Fir Hickory/Pecan Maple Mahogany Pine Red Oak White Oak Walnut Other:

	B.	What type of finish do you prefer?
		Natural (No Stain) Stain Paint Glaze/Stain Glaze/Paint Distressed Other:

5.	What door style to you like best? (More Information)
	Select: Flush (Flat) Recessed Panel Raised Panel Other: OR Select a cabinet door style and enter the style number here:

6.	If you selected a paneled door style, what is your preferred panel shape?
	Flat (no arch) Arch Double Arch

7.	Please elect your preferred door/drawer overlay. (What's this?)
	Inset Partial Overlay Full Overlay

8.	What is your preferred cabinet style? (What's this?)
	Frameless (Euro-style) Framed (American-style) No preference

9.	What is your general color scheme?
	Neutral Pastel Earth tones Monochromatic Bold/Dramatic Other:

10.	What are your appliance colors?

11.	What is your preferred counter top material? (More Information)
	Laminate (i.e. Formica, Pionite) Tile (ceramic, porcelain or stone) Granite/Stone Soapstone Manufactured stone (i.e. Silestone®) Solid surfacing (i.e. Corian®) Wood Concrete Mixed or Other:

12.	Select your flooring preference. (More Information)
	Ceramic, porcelain or stone tile Vinyl tile Vinyl sheet Carpet Laminate (i.e. Pergo®, Formica®) Wood Concrete Mixed or Other:

13.	Features and accessories you would to include in your kitchen.
	Appliance Garage		Decorative range hood		Deep Pan Drawers		Drawer dividers
	Full-Extension Drawer Glides		Glass panel cabinet doors		Plate rack		Sliding trays
	Spice racks/drawers		Decorative molding		Roll-out pantry		Pull-up Mixer Shelf
	Other Accessory (Please Describe):

Your Timeline and Budget

To help us schedule your design and fit your design to your budget, please give us an idea of how much you expect to spend and when you expect to start your remodeling. There is absolutely no point in designing a kitchen that is beyond your budget or outdated by the time you begin the project.

Appliances

To help us design your kitchen accurately and in the correct colors, please provide information below about your appliances and fixtures.  Include the dimensions of any appliances (if you know them), their color and/or finish, and whether you are re-using your existing items or purchasing new ones.

When you have finished, please click on the "Send" button to e-mail this form to us. We will contact you within two business days.