BENVENUTI AND STEIN, INC.

Design Center & Showroom

899 1/2 Green Bay Road
Winnetka, IL 60093
Tel: 847-866-6868
Fax: 847-501-1370

www.BenvenutiAndStein.com
KITCHEN QUESTIONNAIRE
Name:_____________________________________________________________________

Date:________________________

Address: ___________________________________________________________________
City : ________________________________________________________
Cell: __________________________________

Home Phone: ________________________________

Email: ___________________________________________________________

General Information
1. Why do you want to remodel your Kitchen?_______________________________________________________________________
_____To update the look & functionality of the current Kitchen
_____To obtain more storage space
_____To gain additional counter space
_____To replace old appliances
_____To improve the value of your home
_____To change a kitchen in a home that was recently purchased
2. What do you presently like/dislike about your Kitchen?______________________________________________________________
____________________________________________________________________________________________________________
3. Is the current space large enough?_________
4. Would you consider incorporating additional existing space?________
5. Would you add an additional room?________
6. What overall design theme do you prefer?
_____Contemporary

_____ Traditional

_____Other (explain)________________________________________________

7. How many people will regularly be using the Kitchen?________

8. How often do you entertain?
_____Rarely

_____Often

_____ Occasionally

_____ # of People

9. How often do you cook?

_____ Rarely

_____ Occasionally

_____Often

_____ # of People

_____Often

_____# of People

10. How often do you bake?

_____Rarely

_____ Occasionally

11. How many people participate in the cooking?__________

12. Number of seats desired (at a table or in the island): __________
1.

BENVENUTI AND STEIN, INC.

Design Center & Showroom
899 1/2 Green Bay Road
Winnetka, IL 60093
Tel: 847-866-6868
Fax: 847-501-1370

www.BenvenutiAndStein.com
KITCHEN QUESTIONNAIRE Continued
13. Eating Area:
_____Separate Table in Kitchen

_____ Island Breakfast Bar

_____Separate Room

_____Table attached to Island

_____Breakfast Nook

_____Other (explain)______________________________________________________________

Cabinetry Details (Indicate which options below interest you)

1. Cabinetry Material / Finish:
_____Wood

_____Painted finish

_____ Other (explain)

2. Which (if any) of the following would you like built into your cabinetry?
_____Ironing Board

_____Recycle Unit(s)

_____Appliance Garageto house small appliances

_____Knife Drawers

_____ Spice Rack/Drawer

_____Bread Drawer

_____Chopping Block

_____Lazy Susan

_____Tall Tray Divider

_____Broom Closet

_____Lined Silverware Drawers

_____Wine Storage

_____Linen Storage

_____Wire Vegetable Bins_____Divided Drawers

_____Pantry System

_____Other (explain)_____________________________________________________________________

3. Decorative Accessories:
_____Plate Racks

_____ Display Shelves

_____Bookcases

_____Divided Glass Doors for Display

_____ Other (explain)__________________________________________________________________________________________

4. Do you want a separate pantry room?
_____Yes

_____No

_____ Considering

5. Would you like to close off the kitchen from the rest of the house?
6. Would you like to incorporate any of the following into the room?
_____Island

_____ Television

_____Desk Area

_____ Built-in Stereo Sound

_____Wet Bar/Wine Area _____Communication Center w/corkboard,cubbies,etc.

_____Built-in Washer/Dryer

_____Other (explain)______________________

Design Information (Indicate which options below interest you)

1. Countertop Material:
_____Stone

_____Quartz Composite

_____Other (explain)________________________________________

2. Backsplash Material:
_____Granite/Marble
_____Stainless Steel

_____ Decorative Ceramic Tile

_____Slate/Tumbled Stone

_____Combination (explain)

_____ Mosaic Tile

_____Limestone/Soapstone

_____Drywall (paint or wallpaper)

_____Other (explain)___________________________________________________________________________________________
2.

BENVENUTI AND STEIN, INC.

Design Center & Showroom
899 1/2 Green Bay Road
Winnetka, IL 60093
Tel: 847-866-6868
Fax: 847-501-1370

www.BenvenutiAndStein.com
KITCHEN QUESTIONNAIRE Continued
3. Floor Material:
_____Stone Tile

_____Hardwood Flooring

_____ Other (explain)________________________________________

4. Windows and Doors:

_____ Enlarge Existing Windows _____Bay/Bow Window _____Greenhouse Window
_____Sliding Glass Doors

_____French Doors

_____ Other (explain)_______________________________________

5. General Lighting
_____Ceiling Mounted Light

_____Wall Sconces

_____ Pendant Lights

_____Under Cabinet Lighting

_____ Recessed Can Lights

_____Over Cabinet Lighting

_____Cabinet Interior Lights

_____Other (explain)______________________________________________________________

6. Sink Style:
_____ Single

_____Built-in Drain Board

_____Double

_____ Triple

_____ 2nd Prep Sink

_____Farmhouse Sink

_____Other (explain)_____________________________________________________________________

7. Sink Finish:
_____ Porcelain/Cast Iron (standard)

_____Stainless Steel

_____ Stone

_____Copper

_____Other Metal (please specify)

_____Other (explain) ______________________________________________________

8. Sink Accessories:
_____Soap/Lotion Dispenser

_____ Colander

_____Purified Water Spout

_____Faucet w/Pull-out Spray

_____ Pot Filler Faucet

_____Instant Hot Water Spout

_____Separate Pull-out spray

_____ Other (explain)______________________________________________________________

9. Faucet Style:
_____Transitional/Contemporary

_____ Traditional

10. Faucet Finish:

_____Polished Chrome

_____ Polished Nickel

_____ Oil Rubbed Bronze

_____Polished Brass

_____ Satin Nickel

_____ Other (explain)________________________________________

Appliances
The layout and function of your kitchen is greatly effected by your choice of appliances. We have listed some of the available appliance options
below. Check off the options that interest you. If you have already made specific selections, please list the Manufacturer's Name & Model Number.
1. Refrigerator / Freezer:
_____Refrig. above/Freezer below _____Separate Full-Size Freezer
_____Separate Full-Size Refrig.

_____Side-by-Side Refrigerator & Freezer Unit

_____Under Counter Refrig. or Freezer Drawers

_____Separate Ice Maker

_____Full Size Refrig. & Separate Freezer Drawers _____Under Counter Freezer or Beverage Refrigerator _____Wine Cooler
_____ Other __________________________________________________________________________________________

3.

BENVENUTI AND STEIN, INC.

Design Center & Showroom
899 1/2 Green Bay Road
Winnetka, IL 60093
Tel: 847-866-6868
Fax: 847-501-1370

www.BenvenutiAndStein.com
KITCHEN QUESTIONNAIRE Continued
2. Cooktop / Range:
_____ # of burners

_____Electric Cooktop

_____ Cooktop w/Grill or Griddle

_____Gas Cooktop

_____Range w/Oven below

_____ Induction Cooktop

_____Dual Fuel (gas cooktop & electric oven)

_____Other (explain)___________________________________________________________________________________________
3. Oven:
_____# of Ovens

_____Gas Oven

_____Small Microwave

_____ Halogen/Speed Oven (Advantium)

_____Oven w/Microwave Above

_____Electric Oven

_____Large Microwave

_____Other (explain)___________________________________________________________________________________________
4. Other Appliances to consider:
_____Dishwasher (full size unit or drawers)
_____Washer / Dryer

_____Steam Oven

_____Warming Drawer

_____Coffee System

_____Other (explain)___________________________________________________________________

Other thoughts or considerations?_________________________________________________________________________________

____________________________________________________________________________________________________________
____________________________________________________________________________________________________________

4.