Design Kitchen :: Clear Oak Designs, Kitchen & Bath Design, Remodeling & Renovations, San Jose, CA 95112

KITCHEN DESIGN & PLANNING QUESTIONNAIRE

The questions you are about to answer will greatly assist you and your designer in creating the kitchen of your dreams!
(Sit down with a copy of coffee, enjoy yourself and create! This must be done in one sitting and them submitted.)

FAMILY & LIFESTYLE
1. Number of family members:
2. Number and approximate ages of family members:
	Infants	Young children
	Teens	20-30 yrs.
	31-40 yrs.	41-50 yrs.
	51-60 yrs.	61-70 yrs.
	70+ yrs.
3. If your family has young children, do they frequently use the kitchen?
	Yes	No
4. How long do you plan on living in the home you are remodeling/building?
	1-5 yrs.	6-10 yrs.
	11-20 yrs.	20+ yrs.
5. Where does your family eat its meals?
	Kitchen	Dining Room
	Other:
6. Where will your family eat after you remodel/build?
	Kitchen	Dining Room
	Other:
7. 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.
8. What other activities will take place in your new kitchen?
	Laundry	Homework
	Paying bills	Watching TV
	Sewing	Computer Center
	Other Activities:
9. 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?
	Under 10 people.	Over 10 people.
	Do your guests help you in the kitchen when you entertain?
	Yes	No
10. How do you shop?
	For the week.	Buy non-perishable items in bulk.
	For each meal.	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

COOKING STYLE
1. Who is the primary cook?
2. Is the primary cook?
	Left handed	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 kitchen.	A helper in the kitchen.
	Family or friends visiting during meal preparation.
6. Does the primary cook have any physical limitations?
	Yes	No
7. Who is the secondary cook?
	Left handed	Right handed
8. How tall is the secondary cook?
9. Do the secondary and primary cook prepare meals together?
	Yes	No
10. What are the secondary cook's responsibilities?
	Preparing side dishes.	Assist in preparing main course.
	Clean up
11. Does the secondary cook have any physical limitations?
	Yes	No

DESIGN & STYLE
1. What are your color preferences for your new kitchen?
2. Are there other colors you would 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? (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 items do you need to sort?
8. Will you be keeping your existing appliances?
	Dishwasher: Existing	New
	Refrigerator: Existing	New
	Oven/Range: Existing	New
9. What is your style preference for your new kitchen?
	Contemporary	Formal
	Country	Traditional
TIME & BUDGET
1. When would you like to begin your project?
2. When would you like to 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: (required)
2. Address:
3. City/State/Zip:
4. Home Phone:
5. Work Phone:
6. Email: (required)
7. Fax:
8. New Home Address:
9. City/State/Zip
10. Builder Name (if applicable):
11. Contact Name:
12. Phone:
13. Fax:
14. Architect Name (if applicable):
15. Contact Name:
16. Phone:
17. Fax:
18. Interior Designer Name (if applicable):
19. Contact Name:
20. Phone:
21. Fax:

Clear Oak Designs, 1723 Rogers Avenue, San Jose, CA 95112 • Phone: 408.436.5448 • Email:info@clearoakdesigns.com