Designer:
Kitchen Design Survey Form
Date:
Name:
Residence:
Jobsite Address:
Client 1:
Client 2:
Home Phone:
Home Phone:
Work Phone:
Work Phone:
Cell Phone:
Cell Phone:
Email:
Email:
Appointment
Allied Professional
Schedule:
Name:
Call When Ready:
Firm:
Times Available:
Address:
Directions:
Office Phone:
Cell Phone:
Email:
Notes:
©2008 NKBA BMF8
Page 1 of 19
Copyright 2008 by National Kitchen & Bath Association. All rights reserved. No part of this document may be reproduced in any form by Photostat, microfilm, xerography, or any other means, or incorporated
into any informational retrieval system, electronic or mechanical, or transmitted, in any form or by any means, without the prior consent of the copyright owner.
37941-1
General Client Information
1.
What type of project is this?
Renovation
New Construction
2.
Have you ever purchased a kitchen before?
3.
When would you like to start the project?
4.
How much time do you / will you spend at the jobsite residence?
5.
How did you learn about our firm?
6.
Has anyone else assisted you in preparing a design for the kitchen?
7.
Do you plan on retaining an interior designer or architect to assist in the kitchen planning?
Yes
No
Complete the Project?
Phone:
If so, Name:
8.
Do you have a specific builder/contractor or other subcontractor/specialist with whom you would like to work?
If so, Name:
9.
Phone:
What portion of the project, if any, will be your responsibility?
10. What budget range have you established for your kitchen project?
$5,000 – $10,000
$10,000 -$ 20,000
$20,000 – $40,000
$60,000 – $75,000
$75,000 – $100,000
$100,000 +
$40,000 – $60,000
11. How long do you intend to own the jobsite residence?
a.
b.
Is return on investment a primary concern?
Do you plan on renting the jobsite residence?
12. What family members will share in the final decision-making process?
13. Would you like our firm to assist you in securing project financing?
Yes
No
14. What do you dislike most about your present kitchen?
15. What do you like most about your present kitchen?
16. Sustainable design ideas important to your family:
Use of “Green” Products
General products made from recycled materials:
Cabinets
Counters
Floors
Building Materials
Wood products supplied by environmentally responsible manufacturers
Special water conservation products:
Energy efficient appliances:
Energy efficient lighting systems:
Sustainable design details incorporated into the plan:
Areas for recycling waste incorporated into the plan:
17. If you are remodeling: Is there a room addition planned?
a.
b.
When was the house built?
Are you considering relocating
Yes
No
How old is the present kitchen?
windows
doors
walls in your new plan?
18. If you are building a new home:
a.
b.
Are you able to relocate windows doors walls at this stage of construction?
Are you able to relocate walls at this stages of construction Yes No
©2008 NKBA BMF8
Yes
No
Page 2 of 19
Copyright 2008 by National Kitchen & Bath Association. All rights reserved. No part of this document may be reproduced in any form by Photostat, microfilm, xerography, or any other means, or incorporated
into any informational retrieval system, electronic or mechanical, or transmitted, in any form or by any means, without the prior consent of the copyright owner.
37941-1
Specific Kitchen Questions
1.
How many household members? Are you planning on enlarging your family while living here?
Name
Age
2.
How many pets in your household?
3.
Do any frequent guests have physical limitations?
4.
Personal information about the kitchen:
Handed
Height
R
L
R
L
R
L
R
L
R
L
R
L
R
L
What Types?
Yes
No
Physical Limitations/Mobility Aids
Names:
What is the typical pattern of cooking in your household?
One person does most of the cooking. Who?
Two or more people share most of the cooking. Describe:
One person cooks and another person helps. Describe:
Different people take turns doing the cooking. Describe:
Another arrangement. Describe:
What about clean-up?
The cook cleans up. Describe:
Cooking and clean-up are shared. Describe:
Clean-up is done by someone who does not cook. Describe:
Another arrangement. Describe:
5.
Primary Cook:
Is the primary cook
left handed
right handed
Does the primary cook have any physical limitation?
Yes
No
How tall is the primary cook?
Does the primary cook have any cooking hobbies/specialty cooking preferences?
gourmet
baking
ethnic
grilling
bulk cooking to freeze
other:
6.
Other Family Cooks:
How many other household members cook?
Who are they?
Do they
have a cooking hobby
assist primary cook with specific task
share a menu item with primary cook?
Is a specialized cooking center required for the secondary cook?
©2008 NKBA BMF8
Page 3 of 19
Copyright 2008 by National Kitchen & Bath Association. All rights reserved. No part of this document may be reproduced in any form by Photostat, microfilm, xerography, or any other means, or incorporated
into any informational retrieval system, electronic or mechanical, or transmitted, in any form or by any means, without the prior consent of the copyright owner.
37941-1
7.
How does the family use the kitchen for meals at home?
daily heat & serve meals
weekend family meals
daily “from scratch” meals
daily “bring in” meals
weekend “quantity” cooking
ethnic or specialty cooking (please specify)
What type of foods is the family cooking?
8.
What are your kitchen dining area requests?
separate table-
new
30” counter height
9.
existing
size
leaf extension
36” counter height
42” counter height
number of seated diners
Is the kitchen a socializing space?
10. What time of day is your kitchen most frequently used?
11. Do you have any furniture that you want in your kitchen?
Dining Table- Size?
Chairs- How many?
Hutch- Size?
Baker’s Rack- Size?
Easy Chair- How many?
Sofa - Size?
Buffet- Size?
Other Items-
12. How would you like the new kitchen to relate to adjacent rooms?
Family Room
Dining Room
Family Home Office
Family Media Center
Outdoor Kitchen
Laundry/Hobby Space
13. Do you entertain frequently?
per week
per month
per year -
snacks/drinks mostly How many people typically might be in the kitchen when entertaining?
formally
informally
buffet
Do friends bring food to share?
plated
Yes
No
14. Designing the kitchen so that it supports your entertainment style is part of the planning process. Tell me which statement fits you best:
I like to be the only one in the kitchen with my guests in a separate space that is away from the kitchen.
I like to be the only cook in the kitchen, with my guests close by in a space that opens onto the kitchen.
I like my guests to be sitting in the kitchen visiting with me while I cook.
I like my guests to help me in the kitchen in meal preparation.
I like my guests to help in the clean-up process after the meal.
I retain caterers who prepare all meals for entertaining.
The caterers come to the home to serve and clean up.
I stop at the deli/take-out food source to bring part or all of the meal home before entertaining.
Food items that I purchase from outside sources:
Appetizers
Entrees
Desserts
Salads
Soups
15. What secondary activities will take place in your kitchen?
Computer Usage
Hobbies:
Medicine Center / Use
Children Playing
Eating
Laundry
Message Center
Study/Homework
Growing Plants
Liquor/Wine Storage
Planning Desk
TV /Radio/Media/CD
16. What is your cycle for shopping for food?
Daily
Twice Weekly
©2008 NKBA BMF8
Weekly
Bi-weekly
Monthly
Page 4 of 19
Copyright 2008 by National Kitchen & Bath Association. All rights reserved. No part of this document may be reproduced in any form by Photostat, microfilm, xerography, or any other means, or incorporated
into any informational retrieval system, electronic or mechanical, or transmitted, in any form or by any means, without the prior consent of the copyright owner.
37941-1
17.
What types of products/materials do you purchase at the grocery/specialty store?
Predominantly fresh food purchased for a specific meal.
Predominantly fresh/frozen foods purchased for stock.
Traditional pantry boxed/packaged/canned/bottled goods purchased for stock.
Cleaning products stocked in bulk:
Paper products stocked in bulk:
Other boxed/packaged food items stocked in bulk:
Other:
18. Where do you presently store:
Baking Equipment
Flatware
Leftover Containers
Serving Trays
Boxed Goods
Food Prep Utensils
Linens/Towels
Specialty Cooking Vessels (Wok, etc.)
Canned Goods
Food Wrapping Materials
Non-Refrigerated Fruits/Vegs
Other:
Cleaning Supplies
Glassware
Paper Products
Other:
Coffee Station
Grill Equipment
Pet Food
Other:
Cooking Utensils
Hand Appliances
Pots & Pans
Other:
Dishes
Laundry/Iron Equip
Recycle Containers
Other:
Legend:
AG=Appliance Garage
B=Basement
BA=Base Cabinet
BC=Bookcase
C=Countertop
D=Desk
G=Garage
L=Laundry Room
P=Pantry Closet
T=Tall Cabinet
W=Wall Cabinet
Wine
19. What type of specialized storage is desired?
Bottles
Display Items
Linen
Bread Board
Dishes
Plasticware
Bread Box
Food Wrappings
Soft Drink Cans
Cookbooks
Glassware
Spice
Cutlery
Lids
Vegetables
20. What small specialty electrical appliances do you use in your kitchen?
Blender
Crock Pot / Slow Cooker
Mixer
Can Opener
Electric Frying Pan
Toaster
Coffee Grinder
Food Processor
Toaster Oven
Coffee Pot
Griddle
Wok
Countertop
Built-in
Juicer
21. Do you plan on sorting recyclable trash in your kitchen?
Yes
No
Number of bins required:
Would you like a sorting station in the:
Kitchen
©2008 NKBA BMF8
Utility Room
Garage
Basement
Outside
Page 5 of 19
Copyright 2008 by National Kitchen & Bath Association. All rights reserved. No part of this document may be reproduced in any form by Photostat, microfilm, xerography, or any other means, or incorporated
into any informational retrieval system, electronic or mechanical, or transmitted, in any form or by any means, without the prior consent of the copyright owner.
37941-1
Design Information
1.
What type of feeling would you like your new kitchen space to have? Have you created a scrapbook of notes, photos and ideas of
kitchens that you like?
American Country
Asian
Warm Contemporary
Sleek Contemporary
American Formal
2.
Old World European
Personal Design Statement (Eclectic)
Traditional
What colors do you like?
And dislike?
What colors are you considering for you new kitchen?
What are the color preferences of other family members?
3.
Design Notes:
Special Details:
©2008 NKBA BMF8
Page 6 of 19
Copyright 2008 by National Kitchen & Bath Association. All rights reserved. No part of this document may be reproduced in any form by Photostat, microfilm, xerography, or any other means, or incorporated
into any informational retrieval system, electronic or mechanical, or transmitted, in any form or by any means, without the prior consent of the copyright owner.
37941-1
Cabinetry
Source
Key: KS= Kitchen Specialist
Use Existing
O= Owner OA= Owners Agent
Construction
Base
Yes
Wall
Tall
Island
No
Furnished by
KS
Face Material
Framed
Wood-Species
Frameless
Laminate
Installed by
O/OA
KS
O/OA
Base
Wall
Tall
Island
Base
Wall
Tall
Island
Paint
Door Type
Full Overlay
Acrylic
Partial Overlay
Metal
Lip
Other
Inset
Door Style:
Hardware
Knob
Pull
Color and Finish:
Finger Pull
Material
Storage Accessories or Organizers:
Base
Appliance Garage
Wall
Tall
Island
Breadbox
Pull-out Cutting
Board
Roll-out Cart
Cutlery Tray
Roll-out Shelf
Door Shelf
Spice Rack / Drawer
Drawer Divider / Insert
Swing-out Shelf
Drawer Dish Storage
Tilt-down Drawer
Drawer Pot / Pan
Storage
Knife Block
Towel Bar
Knife Drawer
Tray Dividers
(Vertical)
Toe Kick Step Stool
Lazy Susan /
Turntable
Mixer Lift-up
Trash Can
Pantry
Vegetable Bin /
Basket
Wide / Deep Drawer
Plate Rack
Peg Board Drawer
Pot Rack
Other
Pull-out Recycle Bin
Other
©2008 NKBA BMF8
Page 7 of 19
Copyright 2008 by National Kitchen & Bath Association. All rights reserved. No part of this document may be reproduced in any form by Photostat, microfilm, xerography, or any other means, or incorporated
into any informational retrieval system, electronic or mechanical, or transmitted, in any form or by any means, without the prior consent of the copyright owner.
37941-1
Soffit / Fascia
Use Existing
Yes
Furnished by
No
KS
O/OA
Fascia / Soffit Construction
Open
Extended
Installed by
KS
O/OA
Fascia / Soffit Materials
Flush
Recessed
Remove
Other
Wallpaper
Wood
Display Rail
Paint
Lighted
Cornice
Other
Countertops
Use Existing
Yes No
Material
KS
Kitchen
Ceramic Tile
Furnished by
O/OA
Island
Other
Installed by
KS
Edge Treatment
Kitchen
O/OA
Island
Other
Thickness
Size
Shape:
Grout
Bevel
Concrete
Ogee
Engineered Stone
(quartz)
Granite
Bull Nose
Limestone
Square
Marble
Eased
Full
½ Full
Plastic Laminate
Contrast Color
Stainless Steel
Other
Soapstone
Backsplash
Solid Surface
Match to Counter
Wood
Full Height
Other
Endsplash 4” High
Other
Color or Pattern:
Other
Details:
Color or Pattern:
Details:
Preparation:
Describe:
Decking:
Insert:
©2008 NKBA BMF8
Page 8 of 19
Copyright 2008 by National Kitchen & Bath Association. All rights reserved. No part of this document may be reproduced in any form by Photostat, microfilm, xerography, or any other means, or incorporated
into any informational retrieval system, electronic or mechanical, or transmitted, in any form or by any means, without the prior consent of the copyright owner.
37941-1
Sink
Use Existing
Yes
No
KS
Material
Composite
Enamel / Cast Iron
Porcelain / Steel
Stainless Steel
Solid Surface
Other
Other
Number of Bowls
One
Two
Same Size
Large / Small
Three
Color
Sink #1
Furnished by
O/OA
Sink #2
Installed by
Sink #3
Sink #1
Sink #2
Sink #3
Sink #1
Sink #2
Sink #3
Details:
KS
Mounting
Self-Rimming
Under-Mount
Integral
Counter Section
Apron
Other
Special Features
Drainboard L
Drainboard R
Strainer
Accessories
1
2
3
4
5
Sink #1
O/OA
Sink #2
Sink #3
Sink #1
Sink #2
Sink #3
Installed by
O/OA
Sink #1
Sink #2
Sink #3
Sink #1
Sink #2
Sink#3
Faucet
Use Existing
Yes
No
Material
Brass
Chrome
Epoxy-Color
Gold
Brushed Nickel
Pewter
Stainless Steel
Other
KS
Sink #1
Furnished by
O/OA
Sink #2
Sink #3
Other
Other
Other
Other
KS
Style / Features
One Handle L R
Two-Handles
Bridge Type
Pot Filler
Goose Neck
Pull-out Spray
Automatic Operation
Other Features
Separate Spray
Instant Hot
Water Filter
Dishwasher Air Gap
Dispensers
Use Existing
Yes
No
Type
Dish Detergent
KS
Sink #1
Furnished by
O/OA
Sink #2
Sink #3
KS
Type
Hand Soap
Installed by
O/OA
Sink #1
Sink #2
Sink #3
Hand Lotion
Lighting Systems
Use Existing
Yes
No
General
Furnished by
O/OA
KS
Incandescent
Halogen
Fluorescent
Xenon
Decorative
Incandescent
Halogen
Fluorescent
Xenon
©2008 NKBA BMF8
Cove
Recessed
Pendant
Surface mtd.
Track
Incandescent
Halogen
Fluorescent
Other
Other
Under Cabinet
Incandescent
Installed by
O/OA
KS
Ambient
Halogen
Fluorescent
Xenon
Other
Page 9 of 19
Copyright 2008 by National Kitchen & Bath Association. All rights reserved. No part of this document may be reproduced in any form by Photostat, microfilm, xerography, or any other means, or incorporated
into any informational retrieval system, electronic or mechanical, or transmitted, in any form or by any means, without the prior consent of the copyright owner.
37941-1
Appliance & Fixture Specifications - Option 1
(Option 1 to be used by design professionals who select specific appliances for the client.)
Size
Color
Item / Description
Surface Cooking
Range
Config.
Fuel
Cooktop
Config.
Rangetop
Config.
Surface Ventilation
Fuel
Fuel
Remote Blower
Hood:
Manufacturer
Model #
Notes
Configuration: P=Professional CT=Cooktop (controls on top)
RT=Range Top (controls on front)
Style: DI = Drop-in FS=Freestanding SI = Slide-in
Interior Blower
Wall Mounted
Recirculate
CFM
Height
Transition
Island
Duct Cover:
Hood Liner and/or Blower:
Down Draft:
Micro Combo:
Oven Cooking
Oven:
Single
Double
Oven / Microwave Combo
Warming Drawer
Microwave and Specialty Ovens
Microwave
Quantity:
Configuration: CT= Countertop BI= Built-In OTR= Over The Range
Confiig.
Trim Kit:
Refrigeration
Other:
Configuration: SxS= Side-by-Side UCDR= Undercounter Drawers UCD= Undercounter Door L/R TF= Top Freezer BF=Bottom Freezer
Style: Free Standing BI= Built-In (Standard) IN=Built-In (Integrated) AR=All Refrigerator AF=All Freezer
Refrig. Config
Style:
Refrig. Config
Style:
Refrig. Config
Style:
Front Panel
Dishwasher / Compactor / Icemaker
Style: ST= Standard IN= Integrated SI= Semi-Integrated DR=Drawer
Dishwasher
Style
Compactor
Style
Front Panel
Water Products
Configuration: S= Single D=Double BL= Big and Little
Sink #1
Config
Style: UM= Undermount TM= Top Mount IN= Intergral AP= Apron
C=Counter Section
Style
Faucet:
Sink #2
Config
Sink #3
Config
Style
Faucet:
Style
Faucet:
Sink Accessories:
Instant Hot:
Water Filter:
Garbage Disposer
Miscellaneous
Quantity
(Laundry, BBQ / Outdoor Equip, Intercom, Vacuum, Espresso, Ironing Center, Water Softener, Warranty, etc.)
End Appliance & Fixture Specifications - Option 1
©2008 NKBA BMF8
Page 10 of 19
Copyright 2008 by National Kitchen & Bath Association. All rights reserved. No part of this document may be reproduced in any form by Photostat, microfilm, xerography, or any other means, or incorporated
into any informational retrieval system, electronic or mechanical, or transmitted, in any form or by any means, without the prior consent of the copyright owner.
37941-1
Appliance & Fixture Specifications - Option 2
(Option 2 is used by designers who gather all generic appliance info., rather than specifying specific appliances.)
Range
Use Existing
Yes
No
Cooktop / Range Top
Furnished by
O/OA
KS
New
Existing Finish:
Fuel
Electricity
Propane
Type
Free-Standing
Integrated
Electric Surface Units
Conventional Coil
Magnetic Induction
KS
Installed by
O/OA
Size:
Drop-In
Slide-In
Professional Style
Sealed Glass
Ceramic
Thermostatic
Controlled Unit
Dual Size Unit
Gas Surface Units
Open-Air (Conventional)
Sealed
Surface Controls
Electronic
Conventional Knob
Other Cooking Surface Features
Griddle
Grill
Oven Features
Electric Oven
Gas Oven
Convection Oven
Pyrolytic (SelfCleaning)
Controls:
Conventional Knob
Electronic
Other Range Features
KS
Furnished by
O/OA
New Existing Finish:
Fuel
Electricity
Propane
Type
Free-Standing
Integrated
Electric Surface Units
Conventional Coil
Natural Gas
Solid Disk
(Electric Hob)
Halogen Unit
Use Existing
Yes
No
Installed by
O/OA
Size:
Natural Gas
Drop-In
Slide-In
Professional Style
Solid Disk
(Electric Hob)
Halogen Unit
Magnetic Induction
Dual Size Unit
Gas Surface Units
Open-Air (Conventional)
Surface Controls
Electronic
Conventional Knob
Other Cooking Surface Features
High BTU
KS
Sealed Glass
Ceramic
Thermostatic
Controlled Unit
Sealed
High BTU
Griddle
Grill
Broiler
Other
Ventilation System
Use Existing
Yes
No
KS
Updraft / Canopy
Exhaust
Hood
Match to Cooktop
Custom Design
Furnished by
O/OA
Installed by
O/OA
KS
Recirculating
Match to Cabinetry
Slim Line / Telescoping
Downdraft / Proximity
Surface Mount
Pop-Up (Behind Cooktop)
Ventilation System Installation
New Ductwork Needed
Space to Run Ductwork
Ovens
Use Existing
Yes
No
Pop-Up (Next to Cooktop)
Duct Termination
Microwave Oven
KS
Conventional
New
Existing Finish:
Configuration
Furnished by
O/OA
KS
Installed by
O/OA
Size:
Single
Double
Combo Micro / Oven
Under-Counter Installation
Wall Installation
Convection CookingConvection CookingSteam Cooking
elective
Gas
High-Speed Cooking
Pyrolytic (Self-Cleaning)
Controls:
Conventional Knob
Electronic
Other Features
©2008 NKBA BMF8
Use Existing
Yes
No
KS
Furnished by
O/OA
Microwave Oven
New
Existing Finish:
Installation
Free-Standing
Configuration
Microwave-Ventilation Combo
Microwave-Convection Cooking
Features
Browning Element
KS
Installed by
O/OA
Size:
Boxed/Built-In
Integrated
Professional Style
Microwave-Light Cooking
Turntable
Page 11 of 19
Copyright 2008 by National Kitchen & Bath Association. All rights reserved. No part of this document may be reproduced in any form by Photostat, microfilm, xerography, or any other means, or incorporated
into any informational retrieval system, electronic or mechanical, or transmitted, in any form or by any means, without the prior consent of the copyright owner.
37941-1
Refrigerator / Freezer
Use Existing
Yes
Furnished by
No
KS
Installed by
O/OA
#1
Type
Single Door Refrigerator
Single Door Freezer
Refrigerator / Freezer:
Side by Side
Top Mount
Bottom Mount
Undercounter
Modular Units:
Refrigerator Drawers
Freezer Drawers
Freezer:
Upright
Chest
Installation
Free-Standing
Boxed-In
Integrated
Under-Counter
Decorative Panels
KS
#2
#3
O/OA
Features
Ice Maker
Ice Dispenser (Door)
#1
#2
#3
#1
#2
#3
Mini-Door Access
Water Disp. (Outside)
LCD Screen
Other Features
#1
#2
#3
Other Cooling Appliances
Ice Maker
Wine Storage
Dishwasher
Use Existing
Yes
Furnished by
No
Type
Door
Drawers
Installation
Built-In
Integrated with Decorative
Panel to Match Cabinets
Stainless Steel
Color Front
Installed by
KS
O/OA
KS
O/OA
#1
#2
#1
#2
Interior Finish
Plastic
Stainless
Dishwasher Features
Adjustable Shelves
Flatware Trays
#1
#2
#1
#2
Multiple Racks
Special Cycles
Stem Storage
Other Clean-Up Appliances
Use Existing
Yes
No
Furnished by
KS
O/OA
#1
Type
Disposer:
Batch Feed
Continuous Feed
Installed by
#2
KS
#3
O/OA
#1
Type
Trash Compactor
#2
#3
Other Appliances
Use Existing
Yes
No
Furnished by
KS
Type:
Built –In Small Appliances
Radio
O/OA
Computer
Telephone
Intercom
Television
Installed by
KS
VCR / DVD
Other:
O/OA
Warming Drawer
Other:
Washer / Dryer
Other:
End of Appliance & Fixture Specifications - Option 2
©2008 NKBA BMF8
Page 12 of 19
Copyright 2008 by National Kitchen & Bath Association. All rights reserved. No part of this document may be reproduced in any form by Photostat, microfilm, xerography, or any other means, or incorporated
into any informational retrieval system, electronic or mechanical, or transmitted, in any form or by any means, without the prior consent of the copyright owner.
37941-1
Flooring
Use Existing
Yes
No
Furnished by
O/OA
KS
Installed by
KS
O/OA
Floor Preparation
Floor Covering
Removal:
Material
Leveling:
Bamboo
Carpet
Ceramic Tile
Cork
Shim:
Laminate
Linoleum
Vinyl-Sheet
Vinyl-Tile
Subfloor Material:
Wood
Wood-Engineered
Stone
Other:
Underlayment:
Color or Pattern:
Baseboard Under Trim:
Describe:
Transition Treatment
Check all that apply.
Slider = S Casement = C Double-Hung = DH Skylight = SL
Bow = BO
Bay = BA
Vinyl = V Aluminum = A
Aluminum Clad = AC Wood = W Glass Block = GB
Furnished by
Installed by
O/OA
KS
O/OA
Exterior Wall Patch:
Sink Vent Relocation:
Windows
Use Existing
Yes
No
Interior Wall Patch:
Window #
KS
Configuration
Size
Screen
Screen:
Yes
No
Screen:
Yes
No
Screen:
Yes
No
Screen:
Yes
No
Screen:
Yes
No
Screen:
Yes
No
Check all that apply.
Bi-Fold = BF Slider = S Pocket = P French = F Swing = SW
Solid Core = SC Steel = ST Hollow Core = HC
Furnished by
Installed by
O/OA
KS
O/OA
Hinge
Size
Doors
Use Existing
Yes
No
KS
Door #
Configuration
Screen
L
R
Screen:
Yes
No
L
R
Screen:
Yes
No
L
R
Screen:
Yes
No
L
R
Screen:
Yes
No
L
R
Screen:
Yes
No
L
R
Screen:
Yes
No
L
R
Screen:
Yes
No
Hardware Finish:
Passage
Privacy
Knob
Lever
(Note: Door hinging determined as you face door and open toward you.)
Decorative Surfaces
Use Existing
Yes
No
Wall Preparation
KS
New Plaster/Drywall
Wall Finish
Wallpaper
Ceiling Finish
Paint
Ceiling Preparation
New Plaster/Drywall
Furnished by
O/OA
Clean
Paint
Wallpaper
Installed by
KS
Patch Exist
Tile
Suspended
Clean
Window Treatment
©2008 NKBA BMF8
Blinds
Other:
Vaulted
Patch Exist
Other:
O/OA
Remove Exist. Covering:
Other:
Remove Exist. Covering:
Repairs:
Fabric
Shutters
Other:
Page 13 of 19
Copyright 2008 by National Kitchen & Bath Association. All rights reserved. No part of this document may be reproduced in any form by Photostat, microfilm, xerography, or any other means, or incorporated
into any informational retrieval system, electronic or mechanical, or transmitted, in any form or by any means, without the prior consent of the copyright owner.
37941-1
Source
Construction
Use
Existing
Yes
Category
Responsibility
KS
O/OA
No
HVAC
Air Conditioning System Age:
Details:
Planned Improvements:
Heating System Age:
Planned Improvements:
Cooking Ventilation Ductwork Age:
Planned Improvements:
Electrical Work
Yes
No
Details:
New Service Panel:
Code Updates:
Modifications to Exist. Service:
Plumbing:
Yes
No
New Rough-In Requirements:
New Drainage Requirements:
New Vent Stack Requirements:
Modifications to Exist. Lines:
General Carpentry
Yes
No
Demolition Work:
Exist. Fixture and Equip. Removal:
Trash Removal:
Reconstruction Work (Except as previously noted.)
Windows:
Doors:
Interior Walls:
Exterior Walls:
Cabinet Install. / Woodworking Trim Install:
Miscellaneous Work
Details:
Yes
No
Jobsite / Room Clean-up:
Building Permit(s):
Structural Engineering / Architectural Fees:
Inspection Fees:
Jobsite Delivery:
Other:
©2008 NKBA BMF8
Page 14 of 19
Copyright 2008 by National Kitchen & Bath Association. All rights reserved. No part of this document may be reproduced in any form by Photostat, microfilm, xerography, or any other means, or incorporated
into any informational retrieval system, electronic or mechanical, or transmitted, in any form or by any means, without the prior consent of the copyright owner.
37941-1
Existing Construction Details
1. Age of Home:
Access Roads to Home:
Elevator Size Limitations:
Delivery Truck Clearances:
2. Type of Neighborhood:
Rural
Suburban
Urban
Historic
Mixed Use
Multi-Family
Gated Community
Planned Development
3. Type of Home:
Single Family
Duplex
Townhouse
Condominium
Two-Story
Three-Story
Ranch
Apartment/Flat
Other:
4. Structure of Home:
One-Story
Split-Level
Split-Foyer/Raised Ranch
Other:
5. Approximate Size of Home:
6. Style of Home (Exterior):
7. Is the home historic?
Yes
No
What time period?
Are there historic covenants or restrictions affecting the home?
8. Is the home part of a Homeowner’s Association?
Yes
No
Is there Homeowner’s Association covenants or restrictions affecting the home?
9.
Yes
No
Style of Home (Interior)
Colors:
Materials:
Furniture:
Accessories:
Other:
10. Room Below Kitchen
©2008 NKBA BMF8
Page 15 of 19
Copyright 2008 by National Kitchen & Bath Association. All rights reserved. No part of this document may be reproduced in any form by Photostat, microfilm, xerography, or any other means, or incorporated
into any informational retrieval system, electronic or mechanical, or transmitted, in any form or by any means, without the prior consent of the copyright owner.
37941-1
Existing Construction Details- continued
11. Condition of –
Surface Walls
Floors:
Ceilings:
Soffit / Fascia:
Squareness of Corners:
(Parallel Wall to Within ¾)
Is there any hazardous material to be removed?
12. Construction of Floor:
Slab
13. Direction of Floor Joists:
14. Exterior:
Brick
15. Interior:
Drywall
Parallel to Longest Kitchen Wall
Aluminum
Stucco
Lath & Plaster
16. Windows Can Be Changed:
17. Windows:
Frame
Sliders
Yes
Wood
Other:
Other:
No Doors Can Be Relocated:
Double Hung
City Service
18. Sewage System:
Wood
Perpendicular to Longest Kitchen Wall Joist Height:
Skylights
Septic System
Yes
Casement
No Walls Can Be Relocated:
Greenhouse
Bow/Bay
Yes
No
Other:
Other:
19. Type of Roof Material:
Age of Roof:
Access:
Can Equipment Fit Into The Room?
Basement:
Attic:
Crawl Space:
Material Storage:
Trash Collection Area:
HVAC: Describe Existing System: Heating:
Ventilation:
Air Conditioning:
Plumbing:
Location of Existing Vent Stack:
Type of Trap:
Add Additional Line:
Electrical
GFCI Existing:
Yes
New Wiring Access:
No
Hard
Average
Existing Electrical Service Capacity:
©2008 NKBA BMF8
Easy
Number of Circuits Open for Expansion:
Number of 120V Circuits:
Number of 240V Circuits:
Page 16 of 19
Copyright 2008 by National Kitchen & Bath Association. All rights reserved. No part of this document may be reproduced in any form by Photostat, microfilm, xerography, or any other means, or incorporated
into any informational retrieval system, electronic or mechanical, or transmitted, in any form or by any means, without the prior consent of the copyright owner.
37941-1
Appliance Diagram
©2008 NKBA BMF8
Page 17 of 19
Copyright 2008 by National Kitchen & Bath Association. All rights reserved. No part of this document may be reproduced in any form by Photostat, microfilm, xerography, or any other means, or incorporated
into any informational retrieval system, electronic or mechanical, or transmitted, in any form or by any means, without the prior consent of the copyright owner.
37941-1
Windows and Doors Diagram
©2008 NKBA BMF8
Page 18 of 19
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into any informational retrieval system, electronic or mechanical, or transmitted, in any form or by any means, without the prior consent of the copyright owner.
37941-1
Heating Diagram
©2008 NKBA BMF8
Page 19 of 19
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into any informational retrieval system, electronic or mechanical, or transmitted, in any form or by any means, without the prior consent of the copyright owner.
37941-1