Part I: Kitchen Planning Questionnaire
A questionnaire geared to provide specific information that will help your designer understand your specific needs in designing a kitchen ideally suited to you and your family.


Family and Lifestyle:
1. Number of family members:      
2. Number and approximate ages of family members:
__ infants  __ young children __ teens
__ 20 to 30 yrs __ 31 to 40 yrs __ 41 to 50 yrs
__ 51 to 60 yrs __ 61 to 70 yrs __ 70+ 
3. If your family has young children, will they be using the kitchen frequently?
 __ Yes    __ No
4. How long do you plan on living in the home you are remodeling/building?
__ 1 to 5 yrs      __ 6 to 10 yrs
__ 11 to 20 yrs   __ 20+
5. Where does your family eat its meals?
__ Kitchen    __ Dining Room
__ Other:________________
6. Where will your family eat after you remodel/build? 
__ Kitchen    __ Dining Room
__ Other:________________
7. Do you require a kitchen table or would you be willing to explore other options if a design could be improved?
__ A kitchen table is required
__ Preferred but open to other options
__ Not necessary
8. What other activities will take place in your new kitchen?
__ Laundry __ Homework __ Watching TV
__ Paying Bills __ Sewing __ Computer Center
__ Other:
9. After your remodel/build will you entertain  frequently?    
 __ Yes    __ No 

If Yes...
What is your entertainment style?
__ formal    __ informal

Do you have large or small gatherings?
__ large or __ small 

Do your guests help you in the kitchen 
when you entertain?
 __ Yes    __ No
10. How do you shop?

__ For the week    
__ For each meal   
__ Buy non-perishable items in bulk 
__ Buy in bulk and freeze

If you buy in bulk, do you require
storage in the kitchen for all or 
most of these items?
__ Yes    __ No

Cooking Style:

1. Who is the primary cook?
2. Is the primary cook
__ left handed or __ right handed? 
3. How tall is the primary cook?
4. What is the primary cook's cooking style? 
__ Gourmet Meals  __ Family Meals
__ Quick & Simple Meals __ Baking 
__ Bringing Meals Home
5. What does the primary cook prefer?
__ No one else in the kitchen while preparing meals.
__ A helper in the kitchen when preparing meals.
__ Family or friends visiting during meal preparation. 
6. Does the primary cook have any physical limitations?
__ Yes __ No 
7. Who is the secondary cook?
__ left handed or __ right handed? 
8. How tall is the secondary cook? ________ 
9. Do the secondary and primary cook prepare meals together?   __ Yes __ No 
10. What are the secondary cook's responsibilities?
__ Preparing side dishes __ Clean up
__ Assist in preparing main course   
11. Does the secondary cook have any physical 
limitations?

Design and Style:
1. What are your color preferences for your new kitchen?
2. Are there colors you would not want in your new kitchen?
3. Have you created a scrapbook of notes, photos, and ideas that you would like to use in your new kitchen?
__ Yes    __ No 
4. If a design could be greatly improved, would you be willing to make structural changes? 
(i.e. moving windows, doors, and walls) 
__ Yes __ No 
5. What do you like about your current kitchen? 
6. What do you dislike about your current kitchen? 
7. Do you require a recycling center in your kitchen? 
__ Yes    __ No
If Yes... How many items do you need to sort? ___
8. Will you be keeping your existing appliances? 
Dishwasher: __ existing __ new
Refrigerator: __ existing __ new
Oven/Range:  __ existing __ new
9. What is your style preference for your new kitchen? 
__ contemporary    __ formal
__ country             __ traditional

Time and Budget:
1. When would you like to begin your project?
2. When would you like your project completed?
3. If you are building, is the kitchen in your contract?
__ Yes    __ No 
4. Do you have a budget for this project?
__ Yes:  $ ________________ 
__  No

General Information:
1. Name:
2. Address:
3. City / (State) Province / (Zip Code) Postal Code:
4. Home Phone:
5. Work Phone:
6. Fax:
7. New Home Address:
8. City / (State) Province / (Zip Code) Postal Code:
9. Builder Name (if applicable):
10. Contact Name:
11. Phone:
12. Fax:
13. Architect Name (if applicable):
14. Contact Name:
15. Phone:
16. Fax:
17. Interior Designer Name (if applicable):
18. Contact Name:
19. Phone:
20. Fax:

   

 
 Part I: Kitchen Planning Questionnaire
 
 Part II: Remodeling Hints:
 
 Part III: Measuring For Your New Kitchen:
 
 



COPPERRIVER CABINET COMPANY
4602 Lima Road    Fort Wayne, IN 46808
P (260) 484-2623  F (260) 483-7411  E

926 N. Detroit St., Warsaw, IN 46580
P (574) 268-1263  F (574) 268-1264  E

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