NEW CLIENT INTAKE FORM

NEW CLIENT PROJECT FORM
Name

First NameLast Name
Email
example@example.com
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Date

MonthDayYear
Date
Type of Consult preferred
Approximate start time of project
Type of Project
Kitchen size
New cabinets and decorative hardwareNew countertopsWall tileFlooringNew sink and faucetNew AppliancesPlumbingElectricalPaintingDemo existing kitchenOther
How many family members are in your household ?
Daily heat and serve mealsDaily from "scratch" mealsWeekend quantity cookingWeekend family mealsSchool lunchesEthnic or specialty cookingOther
How many years do you intend to stay in your home?
What do you dislike most about your current kitchen?
What do you like most about your current kitchen?
30" range or cooktop36" range or cooktopUnder cabinet Range hoodDecorative range hood ( is not attached to cabinetry )24" dishwasher36" refrigeratorBuilt in microwaveFree standing microwaveCountertop coffee potCountertop toasterCountertop MixerWine refrigeratorBeverage refrigeratorSingle wall ovenDouble wall ovensOther
water sense faucetsenergy efficient appliancesLED task lightingAreas for trash and recyclingIncorporate natural wood and plants ( Biophilic Design )
Separate tableIsland or peninsula with 30" tall seatingIsland or peninsula with 36" counter height seatingIsland or peninsula with 42" bar height seating
Wine / liquor storageBulk food storageWater bottle / to go food storageHomework / school supply storage areaPet feeding station / food storageDrop zone ( message board, phone charging etc. )Lazy susanRoll out shelvesTrash roll outSilverware organizerTray divider cabinetSpice organizerGlass Doors
Additional notes / requests
Should be Empty:

NEW CLIENT PROJECT FORM