Section 1 of 1
Room for Improvement Questionaire
Please give some information about your space. The more detailed, the better and more accurate the final design will be.
Name
Name
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Email Adress
Email Adress
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Phone
Phone
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Project Location
Project Location
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Mailing Address (if different from project)
Mailing Address (if different from project)
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What type of space will we be designing?
What type of space will we be designing?
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Kitchen
Bathroom
Living Room
Family Room
Dining Room
Bedroom
Other:
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Budget (including all fees, taxes, contingency, etc)
Budget (including all fees, taxes, contingency, etc)
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1.
$1,000
2.
$5,000
3.
$10,000
4.
$25,000
5.
$50,000
6.
$75,000
7.
over $100,000
8.
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Age of Home
Age of Home
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Date
Time
1.
new build
2.
five years
3.
ten years
4.
25 years
5.
50 years
6.
75 years
7.
over 100 years
8.
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How long have you lived in your home?
How long have you lived in your home?
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Date
Time
1.
new build
2.
five years
3.
ten years
4.
15 years
5.
20 years
6.
over 25 years
7.
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How long do you plan on living in your home?
How long do you plan on living in your home?
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Date
Time
1.
five years
2.
ten years
3.
15 years
4.
20 years
5.
forever
6.
this is an income property
7.
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Special Considerations:
Special Considerations:
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Time
Disabled, or special physical needs
Aging in place
Young Childern
Pets
Noise control
Other:
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What is your goal for the space?
What is your goal for the space?
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What is the overall scope of the project?
What is the overall scope of the project?
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What will stay?
What will stay?
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What will be replaced and/or added?
What will be replaced and/or added?
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What are the dimensions of the room?
What are the dimensions of the room?
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What is the ceiling height?
What is the ceiling height?
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Time
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Do you have blueprints of your home?
Do you have blueprints of your home?
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1.
Yes
2.
No
3.
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