Design Set Match Initial Contact Form

Main Contact's Name First Last
Daytime/Cell Phone (###) ###-####
Evening Phone (###) ###-####
Email
When is the best time to contact you?
How would you prefer to be contacted?
Is there more than one decision maker?

Please note, a decision maker is anyone involved in your project directly such as a spouse, friend or relative who may be assisting in any way including financially.
Additional Contact's Name First Last
If there is only one contact, please continue on to the mailing address information.
Additional Contact's Daytime/Cell Phone (###) ###-####
Additional Contact's Evening Phone (###) ###-####
Please provide additional evening phone number if different from the main contact's number.
Additional Contact's Email
Mailing Address
Street Address

Address Line 2

City

State

Postal / Zip Code
Project Address (if different than above)
Street Address

Address Line 2

City

State

Postal / Zip Code

Continue on to "type of project" if address is the same as the mailing address.
What type of project are you planning? Bath Kitchen Closet Other
Please check all that apply.
Is your project...
Have you ever purchased, built or remodeled a kitchen or bath before?
When would you like to start construction?
When would you like the project completed?
How did you hear about Design Set Match? Referral from a friend Referral from my contractor Referral from the NKBA website Referral from Build It Green Social Networking connection Article Search Engine Other
You may submit this portion of the questionnaire, or continue below with the rest of the optional items.
Section 2: Additional Information

Many home-owners like yourself have been dreaming and researching how they can modify their home. Please take the time to fill out the following so that I have a better idea of your needs, wants and desires so that none of your precious time, thoughts and ideas go to waste.
Has a Design Professional assisted you in preparing a design for your project?
Do you plan on retaining another Design Professional such as an architect to assist in your project?
Please provide a brief description of the services you anticipate this design professional may be providing.

Please fill in if you answered "yes" regarding working with another design professional
Design Professional's Company Name
Design Professional's Name First Last
Design Professional's Phone (###) ###-####
Design Professional's Email
Design Professional's Web Site
Design Professional's Address
Street Address

Address Line 2

City

State

Postal / Zip Code
Do you have a specific builder/Contractor or other Subcontractor/Specialist with whom you would like to work with?
Contractor's Company Name

Please fill in if you answered "yes" regarding having a contractor that you would like to work with.
Contractor's Name First Last
Contractor's Phone (###) ###-####
Contractor's Email
Contractor's Web Site
Contractor's Mailing Address
Street Address

Address Line 2

City

State

Postal / Zip Code
What portion of your project, if any, will be your responsibility?

Responsibilities vary from decision making to purchasing and receiving materials to installation of any portion of the project.
What budget range have you established for your project?
Is this project a long-term investment?
How much time do you plan on spending at the project address?
How long do you intend to own the project residence?
Is return on investment a primary concern?
Do you plan on renting out the project residence?
What do you dislike most about your current room?
What do you like most about your current room?
Section 3: Eco-preferences

As a Build It Green member and Certified Green Building Professional, Design Set Match starts with and recommends sustainable and eco-friendly materials and practices.
Do you have any specific ideas, practices or materials that are important for your project?
Please check all that apply Post-industrial recycled content Post-consumer recycled content No/low VOC's (Volatile Organic Compounds) Mold/mildew resistant materials Manmade-only materials Natural-only materials FSC-certified wood products (Forest Stewardship Council) Ease of maintenance Water-conserving fixtures Energy-efficient lighting Areas for recycling storage Indoor compost temporary storage Composting in room
Are you planning a room addition?
If yes, please describe briefly
How old is your project residence or what year was it built?
Has any portion been remodeled in the past?
How old is the present room?
Please check any of the following items that you are considering relocating in the room. None Walls Doors Windows Major Appliances Sink Toilet Other
Please check any of the following items which may be relocated if necessary at this stage of the project. None Walls Doors Windows Major Appliances Sink Toilet Other

Design Set Match Initial Contact Form

Design Set Match Initial Contact Form

Section 2: Additional Information

Section 3: Eco-preferences