Cabinet Discounters, Inc.

Print and complete this page.

1. Number of people in your household _________.
2. How many years do you plan on living in the house you are remodeling ____.
3. Do you have young children __Yes  __No. Do they need a place to eat in the kitchen __Yes  __No.
4. Do you have teenagers __Yes  __No. Do they need a place to eat in the kitchen __Yes  __No, to study in the kitchen __Yes  __No.
5. Do you have elderly in your household __Yes  __No.
6. Do you plan to entertain frequently__Yes  __No.
7. Do you need a place for a desk in the new kitchen __Yes  __No.
8. Do you want to provide space in the kitchen for a television __Yes  __No, radio/stereo __Yes  __No
9. Do you have special needs such as acommodating a physical handicap __Yes  __No, a Kosher kitchen __Yes  __No, Other: _________________________________________________
10. How many people usually participate in cooking __________.
11. Who is the primary cook ______________________________.
12. Primary cook is __right-handed   __left-handed.
13. Primary cook is how tall: _________________________.
14. Who is the secondary cook ____________________________.
15. Secondary cook is __right-handed   __left-handed.
16. Secondary cook is how tall: _________________________.
17. What is your usual cooking style: ________________________.
18. Do you prepare large meals frequently __Yes  __No.
19. Are meals frequently prepared "on-the-run" __Yes  __No.
20. Do you buy in bulk and require storage space __Yes  __No.
21. Do you require a separate pantry __Yes  __No.
22. Do you require tall storage/pantry cabinets __Yes  __No.
23. Do you plan to use existing appliances __Yes  __No (if so, list their measurements).
24. Will you purchase new appliances __Yes  __No (if so, list brand and model numbers).
25. Do you plan to use __Gas  __Electric cooktop.
26. Do you plan to use __Gas  __Electric oven.
27. Do you plan to use an integrated stove (oven & cooktop in one case) __Yes  __No.
28. Do you plan to use __separate oven, __double oven, __combo microwave oven.
29. Would you like a ventilating device: __downdraft, __hood.
30. Will you use any special appliaces: __commercial-style stove, __toaster oven, __warming oven, __microwave oven, __commercial-style refrigerator (Sub-Zero), other:________________________________________.
31. Do you plan to have: __ice-maker, __dishwasher, __trash compactor, __garbage disposer, __hot water dispenser, other:________________________________________.
32. What do you like most about your old kitchen: __________________________________________________.
33. What do you like least about your old kitchen: __________________________________________________.
34. Would you consider structural changes such as moving windows, doors or walls, significantly enhance your design __Yes  __No.
35. Do you need space for recycling in your kitchen __Yes  __No.
36. What style do you prefer: __colonial, __contemporary, __Shaker, __classical, __eclectic, other:___________________________.
37. What colors are you considering: ________________________.
38. Countertop preference: __laminate, __solid surface, __granite, __ceramic tile, other:__________________________________.
39. Sink preference: __surface mount, __undermount, __itegral, __double bowl, __single bowl, __corner sink, __country sink, __stainless, __porcelain, __composite
40. Faucet preference: __single handle, __double handle, __traditional, __contemporary
41. Cabinet preference: __wood, __painted, __laminate.
42. What is your budget range: _____________________________.
43. Do you have a completion deadline: ______________________.
44. Do you have a contractor __Yes  __No.