Please enable JavaScript in your browser to complete this form.Thorough planning is an essential element in any successful remodeling project. Your kitchen remodel may be simple or elaborate. Complete this worksheet to help clarify your vision. Check all items that are must haves and those you want to consider or add in the future. Be sure to ask everyone who will use the room for their input. We will help you to determine which items will fit within your budget and guide you on where to make your selections.Name *FirstLastEmail *Phone *What is your primary motivation for remodeling your kitchen?Update appearance and functionalityPreparing to sellOtherIf other, please explain:What are your dislikes of your current kitchen?Poor traffic patternInefficient work triangle Outdated appearanceNot enough seatingPoor or outdated lighting Not enough natural lightNot enough storage for foodNot enough storage for dishesNot enough storage for pots and pansNot enough storage for utensilsNot enough counter space for servingNot enough counter space for food preparationNot enough counter space for clean upOtherIf other, please explain:What year was your home built?Has your kitchen been remodeled in the past?YesNoIf yes, what year?What floor of your home is or will your kitchen be locatedFirst FloorSecond FloorBasementOtherIf other, please explain:Please describe any known leaks, structural problems or barriers: This kitchen will be a:Main KitchenSecondary KitchenOtherIf other, please explain: How many people live in your home (adults & children)?How many primary cooks at one time?Will your kitchen be located in:An existing spaceAn existing space plus added space from adjacent room or an additionAn additionOtherIf other, please explain: If you are remodeling within an existing space, will you relocate or eliminate: Window(s) Door(s)AppliancesSinkWallsOtherIf other, please explain: Will you use an Interior Designer for product and color selections?NoYes – Plekkenpol to select Interior DesignerYes – I am working with an Interior Designer. Please provide your Interior Designer’s name and contact information: Do you have ideas to share?Sketches, drawings, magazine cutouts, photos OtherIf other, please explain: Please list any pre-selected materials, fixtures, cabinets or other features: Will you incorporate any universal design or aging in place features?Wider doorway(s) and adequate space for wheelchair/walker accessKnee opening under sink or counter Non-standard cabinet heightGrab bars, transfer posts or handrails Reachable faucets, faucet handles or foot controlsTemperature and/or pressure controlled faucetsOpen shelvingOther accessibility requirements or details: Will you incorporate:Formal dining room Informal dinette areaDining seats:Total Number:Type of seating:Tall at peninsula/barCounter height at peninsula/barTall at island Counter height at islandBuilt in booth, banquette or benchTable and chairs OtherIf other, please explain: Cabinets:Wood species:OakMapleCherryHickoryBirchAlderPineOtherIf other, please explain: Will your plan include:Pantry cabinetBroom, mop, vacuum closet IslandPeninsulaDesk for homework, meal planning or home management Computer station Wet bar Work or storage space for hobbiesOtherIf other, please explain: Cabinet features:Rollout trash and recyclingRollout spice rackRollout shelvesAdjustable shelvesCutlery storageSilverware trayUtensil dividersKnife storageSmall appliance storage Pots and pans drawersPot rackBread drawerTilt out sponge tray Mixer lift Sink base drawerLazy Susan Bread/cutting board Appliance garage Artwork displayStemware or fine china displayBookshelvesPigeon hole shelving (for mail or messages) File drawersWine storage Plate rackTray dividersSoft close drawersSoft close doors Full extension drawers Interior cabinet lightingGlass doors with finished interiorsGlass shelvesLocked storageOtherIf other, please explain: Above upper cabinets:SoffitOpenOpen with railNo space – Cabinet to ceiling OtherIf other, please explain: Back side of peninsula or island: DoorsWood paneling to match cabinets False door fronts to match cabinetsPainted sheetrockBookshelvesOtherIf other, please explain: Sinks and Faucets:Main sink:Single basinDouble basinTriple basinFarmhouse sink Under mount sink (mounted under counter)Integral sink (level with counter) Drop in sink (lip around counter) Reuse existing sinkSoap dispenser Garbage disposalOtherIf other, please explain: Main sink faucet:Standard height single handle & separate pull out sprayerStandard height faucet with hot and cold handles & separate pull out sprayer Single handle tall with pull down sprayerSingle handle tall with pull out sprayer Hot water dispenser Filtered water dispenserPot filler Draining racksOtherIf other, please explain: Prep sink: NASingle basinDouble basin Under mount sinkIntegral sinkDrop in sinkSoap dispenser Garbage disposalOtherIf other, please explain: Prep sink faucet:NAStandard height single handle & separate pull out sprayer Standard height faucet with hot and cold handles & separate pull out sprayer Single handle tall with pull down sprayer Single handle tall with pull out sprayerHot water dispenser Filtered water dispenser Pot fillerOtherIf other, please explain: Wet bar sink:NASingle basinDouble basin Under mount sinkIntegral sinkDrop in sinkSoap dispenser Garbage disposalOtherIf other, please explain: Wet bar faucet: NAStandard height single handle & separate pull out sprayer Standard height faucet with hot and cold handles & separate pull out sprayer Single handle tall with pull down sprayer Single handle tall with pull out sprayerHot water dispenser Filtered water dispenser OtherIf other, please explain: Appliances:Professional appliances (such as Viking, Wolf, Sub-Zero)Standard brand appliancesOtherIf other, please explain: Refrigerator:Reuse existingStandard with top freezerSide by sideFrench door with bottom freezer Ice dispenserFiltered water dispenser Wine coolerUnder counter beverage coolerDoors to match cabinetry Ice maker OtherIf other, please explain: Cooking appliances: Reuse existingGasElectricBoth gas & electric Cook topDrop in rangeConventional rangeSingle wall ovenDouble wall ovenConvection oven Steam oven Built in microwave Counter top microwave Combination microwave vent hoodFood warming drawer OtherIf other, please explain: Hood:Overhead vent hood Downdraft ventingBuilt-in (panels to match cabinetry) Custom designed hood Reuse existingOtherIf other, please explain: Dishwasher:Standard 24” Two drawer (each drawer can be run independently to save water) Doors to match cabinetry Reuse existingOtherIf other, please explain: Specialty cooking:Deep fryer Wok burner GriddleGrillOtherIf other, please explain:Counter tops:LaminateGraniteCeramic tileGlass tileCorianManufactured quartz/solid surfaceConcreteStainlessOtherIf other, please explain: Backsplash:Full backsplash 4” backsplashGraniteCeramic TileGlass tileManufactured quartzCorianOtherIf other, please explain: Flooring:Re-use existing if possibleCeramic tileNatural stone LaminateVinylRefinish existing hardwoodNew hardwoodCorkConcreteIn floor heatOtherIf other, please explain: Walls:Painted sheetrockNatural stoneWallpaperWoodWainscotChair railSoffitsCrown mould OtherIf other, please explain: Ceiling finish:Patch/retexture existingNew sheetrockKnock down finish Stamped metalBeamedOtherIf other, please explain: Interior doors and trim:Change entry locationReplace door(s)Reuse existing door(s) Remove and finish openingRemove and widen openingArched openingReplace all trimReuse existing trimCrown mould on top cabinetValance board above sinkOtherIf other, please explain: # Standard Outlets:Electrical devices:Dimmer switch(s)Garbage disposal switchOtherIf other, please explain: Will you include:TelevisionAudio systemSpeakersSecurity system panelTelephoneCable TVCAT 5 cable for computer accessPhone charging station/key dropOtherIf other, please explain: Artificial lighting:OverheadTrackPendantHalogen recessed cansLED recessed cansSoffitCeiling fan with lightCrown mould lighting Toe kickSpot lighting for artworkSensor lightingNight lightDimmer switch(s)Under upper cabinetsDecorativeChandelierDisplay cabinet lightingInterior cabinet lightingOtherIf other, please explain: Natural light: SkylightSolotubeWindow(s)Glass blockOtherIf other, please explain: Hardware:Knobs or pullsFinger pulls – no hardware Cabinet locksTowel ringsTowel barsOtherIf other, please explain: Windows:No additional windowsReplace windowsGarden, bay or bow windowOtherIf other, please explain: Exterior door and storm door:Keep existingReplace existingOtherIf other, please explain: Other inclusions:Ceiling fanTrash compactorToe kick step stool PlantsPet feeding areaHidden litter or other pet needsPantry closet for bulk suppliesBulletin boardFire extinguisherOtherIf other, please explain: Are you considering an adjacent:Pantry closetMud roomLaundry roomPowder roomOtherIf other, please explain: Color scheme:Budget: (Set a range to allow for upgraded selections)Desired start date:Desired completion date:Do you have any special requirements that would help us to ensure your desired results and a smooth process?Other comments, questions or design details: Jobsite Address *Address Line 1Address Line 2CityAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip CodeReferral Type *I am a past customerReferral (please specify)Parade of Homes Remodelers ShowcaseHome ShowOpen HouseBuilding LocationPlekkenpol Yard SignsInternet Search / WebsiteSocial MediaAdvertisementPromotional MediaDirect MailProfessional AssociationChamber of CommerceConsumer ResourceOther (please specify)Other (please specify)Referral (please specify)NameSubmit