Start here Designing and building a custom home, or house extension is an enjoyable and exciting experience! This custom home questionnaire will assist in helping you achieve your dream of building a new custom home. You do not have to answer each question. General Information Custom Home House Extension Name(s): Mailing Address: Phone Number: Email Address: Number of Adults residing in the home: Number of Children: Please prioritize the following design parameters. (1=most important, 4= least Important) ------------1234 Budget. Budget Goal: $ ------------1234 Architectural Design/Features ------------1234 Square footage. Target Square Footage: ------------1234 Location What is the primary reason for the design of this new home? What do you like about your existing home? Do you currently own a lot? ------YESNO If so, what is the address? Paid off or financed? ------Paid OffFinanced If a home site has not been purchased, what features are you looking for in a lot? Size/Acres: Price: What utilities are available on your lot? Electric Water Sewer Gas If Gas is not available, would you prefer Propane? ------YESNO Utilities: Most acreage home sites offer water and electric. Sometimes a well is required for water, a septic system for sewer, and propane tank for gas. Which would you prefer (Circle one)? Propane/GasPropaneGas Septic/SewerSepticSewer Well or Watter Supply TopographyWellWatter Supply Topography (varying elevation and /or slope) Desired Area: Remote or Community -----------RemoteCommunity Are you currently working with a realtor? ------YESNO Realtor Name/Firm: Home Information Below is a list of areas/features typically found in a home. Place a check on the features you would like and provide any information that you think would be helpful to begin visualizing the type of home and features that will best fit your needs and desires. Room Count Summary: Bedrooms: -----123456789101112131415+ Bathrooms: -----011.522.533.544.555.566.577.588.599.510+ Dining Area: -----12345+ Living Areas: -----12345+ Study: -----12345+ Garage Bays: -----1234567+ Stories: -----12345+ Kitchen: Kitchen Appliances (Circle One): Gas or Electric?GasElectric Cabinets: Countertops: Dining Room: Family Room: Study/Library: Formal Living Room: Fireplace (Circle One):Wood Burning or Gas?Wood BurningGas Outdoor Areas: Grill/Outdoor Kitchen: Covered Patios: Yard: Master Bedroom: Master Bath: Master Closets: Kids Baths/Guest: Baths: Secondary Bedrooms: Game Room: Theater: Exercise: Utility Room: Garage: Storage: Other Rooms: General Home Features: Trim/Door Style: Flooring: Roof Type: Shingle/Tile/Metal: Exterior: Masonry/Stucco/Siding: Δ