Design Questionnaire

Please take a few moments to complete the information requested below. Brief answers are fine. Involve your entire household. Have fun telling us about your wants and needs. We would like to take full advantage of the time we share together and your input is essential. Thank you for your cooperation. All information will be kept confidential.

Primary Contact Information

PART I - HOUSEHOLD INFORMATION

House square footage *

# Bedrooms *

Age of house *

# Baths *

How long have you lived in your home and how long do you plan to live in your home? *

Do you have plans for the future use of your residence? (Will your rooms need to serve different functions in the future for any household members?) *

Household Members

Please provide us with the names of the members of your household and what needs they have for space, work, study or special needs. Please include ages of each child. *

Do you have pets in the household? Please list type, age, special needs. *

Do you anticipate changes for any Household Members (i.e. College, retirement, etc.) within the next 2-3 years? (Please explain) *

Special Considerations (check all that apply) *

Disabled, elderly or young children in the home? Are occupants daytime sleepers?

Lifestyle

Meals

What cooking facilities are required? *

Does more than one person cook at a time? *

Maintenance

Hobbies

Home Office

Does any household member work from home? Yes/No If yes, are there any special needs (i.e. lighting, soundproofing, computers, etc.)? *

Is there a designated area for working in your home? *

Lighting

Storage

Choose Any *

Multipurpose Furniture Hidden Storage (for clutter issues) Closet Storage/Organizers

Vacation Time

We stay at home for our rest/relaxation: *

We travel for our vacation: *