Home Planning Questionnaire
ABGoodman HouseplanZ
Date: ________________________
Name: __________________________________ spouse name: _________________________
Childrens name<s>: _____________________________________________________________
Address: _____________________________________________________________________
_____________________________________________________________________________
_____________________________________________________________________________
Phone<s>: home: _________________________ work: ______________________________
Lot number: __________________________
Lot address: ___________________________________________________________________
_____________________________________________________________________________
_____________________________________________________________________________
County/Parish: __________________________________________________________________
This form is an important part of your home design process. Please consider all the questions carefully and answer them as completely as possible by circling choices or filling in the blanks. If you need more space for your answers, attach extra sheets.
Total number of square feet under roof: _________________________ / undecided
Desired number of square feet heated: _________________________ / undecided
Absolute maximum square feet heated? ________________________ / undecided
Have you included walls in your square foot calculations? Yes / No
(walls could add 200--300 square feet)
Cost per square foot goal: ___________________________________ / undecided
Proplsed budget for your new home: ___________________________ / undecided
How do you intend to construct your home: owner build / contractor
Are there subdivision restrictions on your lot? yes / no
(We need a copy of restrictions.)
Will an architectural committee review your home plans? yes / no
Are there deed restrictions on your property? yes / no
(We need copy of any deed restrictions.)
Do you have your lot survey drawing? yes / no
(We need a copy of the survey.)
Is there an easement across the property? yes / no
Is there a servitude across the property? yes / no
Does your lot flood or is it in the flood zone? yes / no
How high will the finish floor of the home need to be above grade? __________________
How many stories do you want? _______________ / undecided
If more than single story, what type stairs? _____________________________________
What rooms do you require? _______________ / undecided
How many Bedrooms:_____ Formal Dining: yes / no Breakfast Area: yes / no
Formal Living: yes / no Keeping Room: yes / no
What type floor plan do you want?
Split floor plan -- Master Bedroom separate from other Bedrooms: yes / no
Open floor plan -- Minimum walls between Kitchen-Living-Family Areas: yes / no
Mother-In-Law apartment: area in home / garage apartment yes / no
Do you require handicap accessible rooms or fixtures and cabinets: yes / no
Handicap accessible areas:________________________________________________
Bedroom Features:
Master Bedroom: Size ___________ Bed Size ___________ Notes: ______________
Bedroom #2 Size ___________ Bed Size ___________ Notes: ______________
Bedroom #3 Size ___________ Bed Size ___________ Notes: ______________
Bedroom #4 Size ___________ Bed Size ___________ Notes: ______________
Bedroom/Study: Size ___________ Bed Size ___________ Notes: ______________
Bathroom Features:
Master Bath / Bath #1 / Bath #2 / Bath #3 / ½ Bath / Hollywood __________________
Bathtub: Brand:__________ Model:________ Size:_____________ Material:_________
Whirlpool: Brand:__________ Model:________ Size:_____________ Material:_________
Jacuzzi: Brand:__________ Model:________ Size:_____________ Material:_________
Tub Enclosure: Brand:______ Model:________ Size: ___________ Material:_________
Bathtub Door: Brand:_______ Model:________ Size:_____________ Material:_________
Shower: Brand:__________ Model:________ Size:_____________ Material:_________
Shower Door: Glass / Vinyl
Bathroom Counter Tops: __________________________________________________
Bathroom Cabinets: ______________________________________________________
(antique buffet, made by cabinet maker)
Kitchen Features:
Cabinets: raised panel / flat panel / no panel
Material: plywood / birch / ash / oak / cypress / poplar / mahogany / heart pine
Finish: painted / stained / natural finish / formica covered
Counter top material: ______________
Island: Yes / No - Island top material: ______________
Pantry: Yes / No - walk-in / reach-in size: _______________
Appliance Garage: Yes / No
Menu Desk: Yes / No
Special Cabinets: ________________________________________________________
Cabinets description and size:
Entertainment center: _______________ Length________ Depth______ Height_________
Armoires:_________________________ Length________ Depth______ Height_________
Chest of drawers:___________________ Length________ Depth______ Height________
Buffets: __________________________ Length________ Depth______ Height________
China cabinets:____________________ Length________ Depth______ Height________
Library shelves:____________________ Length________ Depth______ Height________
Special built-In cabinets: _____________ Length________ Depth______ Height________
TV size:__________________________ Length________ Depth______ Height________
Walk-in Closets? Yes / No Which rooms: ______________________________
Utility Room:
Cabinets: Yes / No Type:__________________________________
Utility sink: Yes / No Type:__________________________________
Laundry sink: Yes / No Type:__________________________________
Hang Rod: Yes / No
Broom closet: Yes / No
Counter space: Yes / No Size :__________________________________
Built-in Ironing Board: Yes / No
Hobby/Sewing Area: Yes / No Size :__________________________________
Freezer: Yes / No - upright / chest size: _______________
Washer: Yes / No
Dryer: Yes / No - gas / electric
Appliances: (please provide brand name, model, and sizes)
Refrigerator: Yes / No Type__________________ Length_____ Depth_____ Height_____
Cooktop: Yes / No Type__________________ Length_____ Depth_____ Height_____
Oven: Yes / No sgl. / dbl. Type_______________ Length_____ Depth_____ Height_____
Range: Yes / No Type__________________ Length_____ Depth_____ Height_____
Microwave: Yes / No Type__________________ Length_____ Depth_____ Height_____
Dishwasher: Yes / No Type__________________ Length_____ Depth_____ Height_____
Disposal: Yes / No Type__________________ Length_____ Depth_____ Height_____
Compactor: Yes / No Type__________________ Length_____ Depth_____ Height_____
Bread warmer: Yes / No Type__________________ Length_____ Depth_____ Height_____
Jen Air/Down Draft: Yes / No ____________________________________________________
Kitchen Sink: double sink / triple sink / vegetable sink - stainless steel / ceramic.
Water heater<s>: How many: _______ Size (gallons)________ - gas / electric
Structure and Finishes:
What type of foundation do you want?
wood on piers / concrete slab / basement / post tension / trusjoint / silent floor
Do you want 2x4 or 2x6 exterior walls?
Type of insulation: cellulose / fiberglass / rockwool / styrofoam / insulfoam
What ceiling heights do you want? _______________________________
Ceiling finish: plaster / ceiling tile / sheetrock / sanded / textured / orange peel
Fireplace type: None / brick / insert / Heatilator / Superior / iron stove / ventless
Hearth type: floor level / raised
Hearth material:_____________________ Face material?________________________
Exterior siding material?
wood / dryvit / hardy plank / vinyl / alum / masonite / brick / stone / fake stone
Soffit material: wood / vinyl / alum / hardy plank / other
Facia material: redwood / vinyl / metal / alum / hardy plank
Roofing: flat roof / built up / melt seam
metal / tile / asphalt / fiberglass / 15 yr / 25 yr / architectural / slate / copper
Type of windows:
insulated / wood / aluminum / vinyl / sgl. hung / dbl. hung / casement / horizontal
Window Color: __________________ Manufactured by: ___________________________
Type of interior doors: birch / ash / oak / wood / masonite / hollow core / solid core
raised panel / flush / sgl. / dbl. / pocket / french 4 lite / french 9 lite / french 15 lite
Front door:
Rear door:
Closet Doors: bi-fold / mirror bypass / accordion / bypass
louvered Bi-fold / paneled Bi-fold / pocket / single / double
Driveway: concrete brushed / washed gravel / brick lined / brick / stained concrete
Shutters: wood / vinyl - operating / non-operating
HVAC unit: gas / electric - floor vents / ceiling vents / either
heat pump / ground source / water source
Security System: Yes / No Installed / Wired for only
Special Wiring:
Central Vacuum Unit: Yes / No Make/Model:_________________________________
Columns Material:
Front Columns:
Rear Columns:
Chimney Material and Cap:
Special Brick Patterns:
Exposed Beams:
exposed wood / non-exposed wood / sheetrock covered / box beam / panel box beam
Exposed Ceiling Joists: Yes / No Wood type: cypress / pine
Which rooms:
Corbels:
Special wood work:
Type Door Knobs:
Special Lighting: Yes / No - Incandescent / fluorescent / gas
Wallpaper in which rooms? (full wall or wainscot)
Garage/carport: Size: ___________________ Material: ___________________
Storage/Shop: Size: ___________________ Material: ___________________
Porches:
Front: Large (for seating) / Small (for door cover)
Special features:
Rear: Large / Small
Special features:
Side: Large / Small
Special features:
Gutters: Yes / No - Type: __________________________________________
Special Outside Lighting:
Sizes of special items you wish to use in this house:
Televisions:________________________ Old doors:________________________
Trophies:__________________________ Furniture:_________________________
*Outbuildings: lawn shed / gazebo / pigeonnaire / green house / play house
jungle gym sets / pool house / guest house / well house / wishing well
*Landscaping:
*Outside Sprinkler System: Yes / No
*Patio Drawings Needed: Yes / No
*Elevator? Yes / No
*Fountains / waterfalls / swimming pool / fish pond?
*Special fence and gate drawings:
Miscellaneous:
Addditional notes:
*Items not usually included in normal set of plans. Please ask about extra charges.
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