Lifestyle Assessment Form 

Your kitchen should be as unique as you are. So our first step will be to get to know you.

  • Lifestyle Assessment Form:
  • MM slash DD slash YYYY
  • The Basics

  • Household Member 1
  • Household Member 2
  • Household Member 3
  • Household Member 4
  • Household Member 5
  • Household Member 6
  • *Note if any household members are left-handed
  • Rate the following features in your current kitchen on a scale of 1 to 5. (1=Strongly dislike, 2=Dislike, 3=Okay, 4=Like, 5=Like a lot)
  • Guests

  • The Future

  • By submitting this form, I give Kitchen Design Concepts permission to email and/or text me about my submission.