Name: _________________________________________________________
Address: _______________________________________________________
City, State, Zip: __________________________________________________
Email: _______________________________ Phone: ____________________
HOME DESIGN QUESTIONNAIRE
> Please check the box(es) next to your preference(s) in each category
Exterior Walls
Siding Material
Roof Design
Roof Pitch
Floor Design
Ceiling Type
Patio Doors (if applicable)
Closet Doors (for non-walk in closets)
Fireplace (if applicable)
Windows
Switch Controlled Electrical Outlets
Ceiling Fans
Kitchen Options
Phone Jack Locations
TV Jack Locations
2 x 4 Wood Frame
2 x 6 Wood Frame
Concrete Block
Vinyl
Brick
Partial Height Brick (front only)
Stucco
Other________________________
Gable Roof
Hip Roof
4-12
5-12
6-12
7-12
8-12
Concrete Slab
Wood Sub-Floor on Joists with Crawl Space
Wood Sub-Floor on Joists with Basement
Flat Ceilings 8' High (or ___ High)
Cathedral Ceilings
Cathedral Ceilings in ______________________
specifiy rooms
____________________________________
Sliding Glass Doors
French Doors
Sliding Doors
Bi-fold Doors
Wood Burning
Gas
Electric
(Please show desired location on mark-up plans)
Bay Window? _________________________________________
(Also, on the plans, write the other window sizes you want)
desired location and size
Bedrooms
Living Room
Family Room
(Mark on plans the outlets you want to be switch controlled)
All Rooms
Bedrooms
Kitchen
Living Room
Family Room
Dining Room
Other ___________
Garbage Disposal
Light above Sink
Dishwasher
Icemaker
All Rooms
Bedrooms
Kitchen
Living Room
Family Room
Other _____________________
All Rooms
Bedrooms
Kitchen
Living Room
Family Room
Other _____________________
Wired for Garage Door Opener (if applicable)
Yes
No
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