A questionnaire geared to provide information Thomas D. Kling, Inc. can use to design a kitchen ideally suited for you and your family.

Family and Lifestyle:

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

8. After your remodel/build, will you entertain frequently? __ Yes __ No
If Yes,What is your entertaining style?__ Formal __ InformalDo 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 freezeIf you buy in bulk, do you require storage in the kitchen for all or most of these items?__ Yes __ No

Cooking Style:

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

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?
__ Prepare side dishes __ Clean up
__ Assist in preparing main course

12. Does the secondary cook have any physical limitations?
__ Yes __ No What type?_________________________

Design and Style:

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?
Dishwasher: __ Existing __ New
Refrigerator: __ Existing __ New
Oven/Range: __ Existing __ New
Microwave: __ Existing __ New

9. What is your style preference for your new kitchen?
__ Contemporary __ Formal__ Country __ Traditional

Time and Budget:

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

General Information:

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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