| About you and your family | ||
| Name | ||
| House number or Name | ||
| Street | ||
| Town | ||
| City | ||
| County / State | ||
| Postal code | ||
| Country | ||
| Telephone number | ||
| Mobile Telephone number | ||
| Facsimile number | ||
| e Mail address | ||
| Your profession | ||
| How many adults live at this address | ||
| How old are these adults (or are they elderly) |
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| How many children live at this address | ||
| How old are these children | ||
| How many children visit this address and how often | ||
| Are any of the above Disabled or have other relevant medical conditions | ||
| Describe inhabitants disabilities (ie Arthritis or bad back) |
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| How many hours a week do the adults work | ||
| Do you work from home, if so how much | ||
| Are you left or right handed | ||
| What is you religion | ||
| About your home | ||
| How old is your Property | ||
| Briefly describe the property |
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| Describe the area in which you live |
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| How large is your garden | ||
| Do you have a conservatory | ||
| Are you overlooked or is your light restricted | ||
| Are you planning to extend or have building work carried out | ||
| If so have you got planning permission | ||
| Do you have an archicectural feature you want to hide or highlight | ||
| Which direction does the Kitchen face |
North West / North / North East North East / East / South East South East / South / South West South West / West / North West |
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| Where is the boiler situated | ||
| About your kitchen | ||
| If you have one what is the budget for your project | ||
| What are the priorities in your kitchen |
Design Storage Worktop space Preparation Functionality Cooking Ease of cleaning / maintenance |
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| List all the things you do not like about your current kitchen
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(1) (2) (3) (4) (5) (6) (7) (8) (9) |
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| List all the things you do like about your current kitchen
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(1) (2) (3) (4) (5) (6) (7) (8) (9) |
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| List all the things you wish for in Your New Kitchen
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(1) (2) (3) (4) (5) (6) (7) (8) (9) |
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| What are your expectations of this project | ||
| Do other activities take place in the Kitchen |
Socialising Television Childrens home work Home based work Laundry Ironing Dining Breakfasting |
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| Do you have a preferred style of kitchen |
Traditional Rustic Country Cottage Gothic Georgian Edwardian Arts crafts Art deco Modern Contemporary Minimalist Feng Shui Ultra Contemporary |
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| Do you like kitchens with a less fitted look (raised off the floor) | ||
| Would you prefer taller wall cabinets to maximize storage or a more balanced size |
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| Do you prefer appliances hidden behind a door or to be focal points | ||
| Are there any specific features you would like in your kitchen
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Turned columns Plate rack Spice cabinet Glazed Cabinets Wirework Hanging Rack Mug rack Butlers Pantry |
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| What is your preferred focal point of the kitchen |
Cooking area Sink Worktops Lighting and colours Dresser Island Butlers pantry / Tall area |
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| Is the heating in the kitchen adequate | ||
| Decor | ||
| Do you have a favourite architectural period |
Egytpian Oriental Classical Greek Romanesque Gothic Renaissance Baroque Neo-Classical Picturesque Other |
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| Do you have a favourite historical furniture period |
Medieval Gothic Elizabethan Tudor / Jacobean Marot (Queen Anne) Georgian Regency Victorian Edwardian Art Nouveau Art Deco Modern Contemporary Neo modern |
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| Do you have any preferred materials |
Real Wood Painted Finishes Limestone Granite Stainless steel Slate Marble Steel Glass Ceramics Fabrics Corian Laminates Pewter Nickel Brass Copper |
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| Do you have a preferred Species of Timber |
Oak Maple English "Pippy" Oak Walnut Cherry Ash Beech Iroko Mahogany Teak |
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| What type of flooring would you prefer | ||
| What type of floor will suit your family |
Wood Vinyl Tiled Stone |
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| What is most important about you kitchen floor |
Looks Easy to clean Hard wearing Tiring on the cooks feet |
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| Do you have any favourite colour, or colours that you dislike | ||
| Do you have preferred wall covering type | ||
| Do you prefer natural or artificial lighting | ||
| Storage space | ||
| How often do you shop for food |
Monthly Twice monthly Weekly Twice weekly |
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| Do you have favourite items to display | ||
| What sort of Items do you store most |
Dried foods Tinned foods Frozen foods Fresh fruit & vegetables |
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| Is open shelving or closed cupboard space preferable | ||
| Do you have any tall items to store |
Brooms Ironing board Hoover Extension pipe |
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| What type of refridgeration would you prefer |
American/Built under/Tall fridge housing/Mid Height Fridge housing/other | |
| Where do you prefer to keep kitchen utensils and cutlery | ||
| Are there specific items that need better storage |
Kitchen roll Baking Trays Medicines Pet foods Chopping boards Bulk supplies Spices Breakfast cereals Large drinks containers Cleaning materials |
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| Are you a kitchen gadget collector |
Kettle Expresso / Coffee machine Food slicer Food processor Scales Toaster Mixer Sandwich Toaster Panini grill Juicer Microwave Fondue Raclette grill Wok Steamer Low fat grill Deep fat fryer Electric carving knife Other |
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| Do you have lots of pots and pans | ||
| Cleaning | ||
| Do you use or require a dishwasher | ||
| How much do you recycle | ||
| Would you like your waste bin hidden | ||
| Is there enough storage space near the sink for cleaning materials | ||
| Do you use or require a waste disposal unit | ||
| Preparation | ||
| Do you have many cookery books | ||
| What material would you prefer for your worktops |
Granite Wood Laminate Solid Composite Stainless steel Glass Combination |
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| What type of sink would you prefer |
Undermounted Belfast (butler) Floating (conventional) Modular Copper Wooden Integral |
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| Do you have a preferred bowl (B) / draining board (D) configuration |
1xB+1xD 1.5xB+1xD 2xB+1xD 1xB+2xD 1.5xB+2xD 2xB+2xD |
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| What material would prefer for your sink |
Stainess steel Ceramic Corian Composite Not sure |
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| Are there enough electrical outlets | ||
| Cooking | ||
| How often do you cook and how many people cook | ||
| How tall are the people who cook | ||
| Do you enjoy or take a professional approach to cooking | ||
| What type of cooker would you prefer |
Aga Rangemaster Conventional Built under Tall oven housing Wide built under |
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| How many and what type of hob rings would you prefer | ||
| Do you use a griddle | ||
| Do you have a preferred cooking fuel type or restriction |
Gas Electric Oil Solid fuel Combination |
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| Do you use or would you like cooking extraction | ||
| Does the the kitchen have adequate ventilation | ||
| Do you use a microwave | ||
| Are there any other integrated appliances you particularly like
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Plate warmer Coffee machine Microwave Wine chiller Wok burner Steam oven Teppan Yaki Deep Fryer Barbeque style cook top other |
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| Do you have a preferred appliance colour | ||
| Do you have preferred appliance makes or models | ||
| How many times a week do you have deep fried food | ||
| About your lifestyle | ||
| Do people tend to congregate in the kitchen | ||
| Do you have a preferred shopping store | . | |
| Do you entertain much, if so how often and how many guests | ||
| How much wine do you consume | ||
| Do you prefer White or Red wine | ||
| Do you keep much wine or beer in the house | ||
| Do you watch any cooking programs on the television | ||
| Do you have any pets, is what kind and how many | ||
| If you have pets do they eat or sleep in the kitchen | ||
| If you have pets how conscious are you of hygiene issues | ||
| How many hours a week do you spend watching TV | ||
| How many take away meals do you have each month | ||
| Is the washing machine sited in the kitchen | ||
| Do you use a separate tumble drier | ||
| If so where is the tumble drier sited | ||
| Could the laundry be sited elsewhere | Utility room/Bathroom/other | |
| Where do you do your ironing | ||
| Do you have a notice board or chalk board in the kitchen | ||
| Do you or have, or have you owned a fish tank |
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| Please note this information will not be passed on to any other parties without your prior written consent, this survey is not designed to be intrusive in any way, and the last thing we want is to cause offense, we are simply trying to get as accurate a picture as possible of you, your family, your lifestyle and your home, so when you undertake this project the finished result will be tailored to you, it will be perfect, anything less than perfection is sub-standard. | ||
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