Please take a few moments to complete the information requested below.

Involve your entire household. Have fun telling us about your wants and needs.

We would like to take full advantage of the time we share together and your input is essential.

Thank you for your cooperation. All information will be kept confidential.

PRIMARY CONTACT'S INFORMATION
CONTACT 1 NAME *
CONTACT 1 NAME
CONTACT 1 DAY TIME PHONE NUMBER
CONTACT 1 DAY TIME PHONE NUMBER
CONTACT 1 EVENING TIME PHONE NUMBER *
CONTACT 1 EVENING TIME PHONE NUMBER
SECONDARY CONTACT'S INFORMATION
CONTACT 2 NAME
CONTACT 2 NAME
CONTACT 2 DAY TIME PHONE NUMBER
CONTACT 2 DAY TIME PHONE NUMBER
CONTACT 2 EVENTING TIME PHONE NUMBER
CONTACT 2 EVENTING TIME PHONE NUMBER
HOW DO YOUR PREFER TO BE CONTACTED *
(CHECK ALL THAT APPLY)
HOUSEHOLD INFORMATION
(WILL YOUR ROOMS NEED TO SERVE DIFFERENT FUNCTIONS IN THE FUTURE FOR ANY HOUSEHOLD MEMBERS?)
(INCLUDE ANY NEEDS FOR SPACE, WORK, STUDY, OR SPECIAL NEEDS)
FOR EXAMPLE: COLLEGE, RETIREMENT, ETC... WITHIN THE NEXT TWO TO THREE YEARS? PLEASE EXPLAIN
(PLEASE LIST TYPE, AGE, AND ANY SPECIAL NEEDS.)
SPECIAL CONSIDERATIONS *
LIFSTYLE
OUR ENTERTAINING STILL IS: *
WE ENTERTAIN: *
AVERAGE NUMBER OF QUEST: *
AVERAGE AGE OF GUESTS *
CHECK ALL THAT APPLY
ENTERTAINING TYPE: *
CHECK ALL THAT APPLY
MEALS
WHAT TYPE OF COOKING EQUIPMENTS IS REQUIRED? *
DOES MORE THAN ONE PERSON COOK AT A TIME? *
WHERE DO YOU EAT YOUR MEALS?
MAINTENANCE
IF YES, HOW OFTEN?
HOBBIES
DO MEMBERS OF YOUR HOUSEHOLD SHARE COMMON TIME TOGETHER?
PLEASE EXPLAIN.
IF SO, PLEASE LIST.
ARE ANY OF THESE COLLECTIONS OF DISPLAY?