Name
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First Name
Last Name
Address of Project
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Address 1
Address 2
City
State/Province
Zip/Postal Code
Country
Email
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Phone
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(###)
###
####
Subject
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Current members of your household
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Please select all that apply:
Details about your family members
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Please include special needs, total number of family members in each category, etc.
How long have you lived in your home?
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When was your house built?
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How old is the existing kitchen?
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When would you like to begin the project?
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When would you like the project to be completed?
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What is your estimated budget?
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Do you plan to gut the existing kitchen area?
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Do you plan to keep the same kitchen layout and simply make cosmetic changes?
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What elements will remain and which will be replaced?
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What improvements are you looking for in a new kitchen?
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Check all that apply:
Other improvements you would like in your new kitchen?
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What do you dislike most about your existing kitchen?
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What works particularly well in your present kitchen?
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List some of the details in a new kitchen that would be important to you
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Who is the primary cook in your household, and how tall is this person?
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Is the primary cook
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How many other household members cook, and what are their specific needs if they differ from the previous assessment?
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Which of the following do you desire for your new kitchen
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Check all that apply
Where does your family eat?
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Please fill in percentages (out of 100%) for the following areas:
Please check the statement that best describes the way you feel about entertaining
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How and when do you entertain?
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Check all that apply
What secondary activities would you like to take place in your kitchen?
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Check all that apply
What small electrical appliances do you use in your kitchen?
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Check all that apply
Which items need specialized storage?
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Check all that apply
Storage Notes
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Please let us know of any specific storage needs that will need to be considered in the design of a new kitchen
Which items do you recycle and where do you sort?
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Check all that apply
If you are changing out your cabinets, what type of material do you prefer?
What cabinet styles do you prefer?
If you are changing out your countertops, which do you prefer?
What type of backsplash do you prefer?
What floor materials do you prefer?
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What overall feeling would you like your new kitchen space to have?
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Select all that apply
What colors do you like?
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What colors do you particularly dislike?
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What colors are you considering for your new kitchen?
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Other notes or questions
If you answered "other" to any of the questions, please elaborate here. Also, feel free to get as specific as you would like with any other details about your project in this area.
How did you first hear about Hodge Design & Remodeling?
*
Please include all that apply
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Thank you for your interest in Hodge Design & Remodeling!
We will be in touch shortly about your Kitchen Remodeling Information Request. We look forward to meeting you!
Give us a call at (706) 769-1600 for immediate attention.
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