Full Name
Address
Address 2
City, State, Zip code
Home Phone
Cell Phone
Fax Numer
Email Address

1. What type of property are you remodeling?

Single Family.
Row Home.
Split Level .
Condo.

2. Location of property.

Address
Address 2
City, State, Zip Code

3. What area of the home are you considering to remodel? Choose all that apply.

Kitchen
Bathroom
Dining Room
Living Room
Bedroom
Basement
Addition

4. Is your budget pre-approved?

Yes
No

5. What is your design budget?

$10,000-$35,000
$36,000-$60,000
$70,000+

6. Do you need an estimate?

* Note - Written estimates are $75.00 which is deducted from the cost if we receive the job.

Yes
No

7. Does the lender require a written Estimate?

Yes
No

8. Estimated date you would like to begin the project?

9. Estimated date you would like to have the project completed?

10. How will you be paying for the project?

Cash
Check

11. Do you have an engineer or designer for your project?

Yes
No

12. Do you have your plans or design ready for submission to permit office?

Yes
No

13. If you have anything you would like to tell us, please do so here.