Name Phone Date Jan Feb Mar April May Jun July Aug Sept Oct Nov Dec 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 2005 2006 2007 2008 2009
Address City State Zip
General Information
1. How did you learn about H&S Cabinets and Construction?
2. When would you like to start your project?
3. What budget range have you established for your kitchen? It is important to give yourself a budget. This does not mean our estimate will reflect what your budget is. It only verifies that you are interested and have given thought to budgeting for your project. It has been my professional experience that most of my clients will budget similar to the cost of their automobile. The same thing applies to a kitchen or bath remodel. Do want a generic model or one with all the luxuries?
4. Do you have a specific Builder/Contractor? Yes No
5. Do you intend to retain an Interior Decorator or Architect? Yes No
6. What do you like about your present kitchen?
7. What do you dislike about your present kitchen?
8. Who is the primary cook? Left handed Right handed Height
9. What are your kitchen and dining requests? Separate table Yes No
Size Kitchen bar :30" Table height , 36" Counter height or
42" Bar height , Number of seats , Other (specify)
10. What secondary activities will take place in your kitchen?
Computer Laundry TV/Radio Desk Sewing Ironing Bar Other
11. What type of cabinet interior storage are you interested in?
Lazy Susan Recycling Bins Pantry Roll-Outs Vertical Dividers Tilt-Out Sink Front
12. Have you considered relocating or changing windows, doors or walls in your new plan?
(Specify)
13. What type of feeling would you like your new kitchen space to have?
Sleek/Contemporary Traditional Other (Specify)
14. What colors do you like? and dislike?
15. Have you made a sketch or collected pictures of ideas for your new kitchen? Yes No
16. General expression of your new kitchen feeling:
17. General notes for storage preferences:
18. Any other notes:
Project Specifications
Cabinetry:
Wood (Specify) Paint Laminate Polyester/RTF Other (Specify)
Door Styles:
Hardware/Hinges:
Exterior Finish/Color:
Interior Finish/Color:
Countertops: Corian (Solid Surface) Granite Marble Ceramic Tile Wood Laminate
Backsplash: 4" Full Other
Lighting: Incandescent Florescent Halogen Under Counter Other
Appliances:
1. Range -- Mfr. & Model # Size Gas Electric
2. Cook Top -- Mfr. & Model # Size Gas Electric
3. Oven -- Mfr. & Model # Size Gas Electric
4. Hood -- Mfr. & Model # Size Gas Electric
5. M/W Hood -- Mfr. & Model # Size Gas Electric
6. Microwave -- Mfr. & Model # Size Gas Electric
7. Refrigerator -- Mfr. & Model # Size Gas Electric
8. Dishwasher -- Mfr. & Model # Size Gas Electric
9. Compactor -- Mfr. & Model # Size Gas Electric
10. Other -- Mfr. & Model # Size Gas Electric
11. Other -- Mfr. & Model # Size Gas Electric
12. Other -- Mfr. & Model # Size Gas Electric
Plumbing Fixtures:
Sink #1 -- Type Size Mounting Method # of Holes
Sink #2 -- Type Size Mounting Method # of Holes
Faucet(s) -- Instant Hot Soap Dispenser Purified Water Other (Specify)
Plumbing Supplies: Copper Galvanized
Waste/Vent: Cast Iron Galvanized ABS
Electrical: Existing New Circuits New Service Panel
Windows: Existing New (Specify Type)
Doors: Existing New (Specify Type)