Your Name
              
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                    First Name 
                   
                
                
                  
                    Last Name 
                   
                
               
            
            
            
            
            
            
        
          
          
            
            
            
            
            
              
                
            
              Email
              
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              Phone
              
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                    (###) 
                   
                
                
                  
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                    #### 
                   
                
               
            
            
        
          
          
            
            
            
            
            
            
            
            
            
            
            
            
            
            
              
                
            
              Spouse/Partner Name
              
             
          
                
                
                  
                    First Name 
                   
                
                
                  
                    Last Name 
                   
                
               
            
            
            
            
            
            
        
          
          
            
            
            
            
            
              
                
            
              Spouse/Partner Email
              
             
          
                
                
            
            
            
            
            
            
            
            
            
            
            
            
            
            
            
        
          
          
            
            
            
            
            
            
            
            
            
            
            
            
            
            
            
            
            
            
              
                
            
              Spouse/Partner Phone
              
             
          
                
                
                
                  
                    (###) 
                   
                
                
                  
                    ### 
                   
                
                
                  
                    #### 
                   
                
               
            
            
        
          
          
            
            
            
            
            
            
            
            
            
            
            
            
            
            
            
            
            
              
                
            
              Project Address
              
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                    Address 1 
                   
                
                
                  
                    Address 2 
                   
                
                
                  
                    City 
                   
                
                
                  
                    State/Province 
                   
                
                
                  
                    Zip/Postal Code 
                   
                
                
                  
                    Country 
                   
                
               
            
            
            
        
          
          
            
            
              
            
            
            
            
            
            
            
            
            
            
            
            
            
            
            
            
            
            
        
          
          
            
            
            
            
            
            
            
            
            
            
            
              
                
            
              Do you reside in the home that you plan to remodel?
              
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              Why do you want to remodel your home?
              
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              Do you have a specific time frame or any constraints you’d like to meet for this project?
              
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                    ASAP 
                  
                    Within the next 6 months 
                  
                    Within the next year 
                  
                    Within the next two years 
                  
                   
              
            
            
            
            
            
            
            
        
          
          
            
            
            
              
                
            
              How long have you been thinking about this remodel project?
              
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              Have you worked with an architect or designer yet on this project? 
              
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              If yes, what stage are you currently in?
              
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              Have you gone through the remodel process in the past?
              
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              If yes, what was your favorite and least favorite part of the process? 
              
             
          
                
                
            
            
            
            
            
            
            
            
            
            
            
            
            
            
            
            
            
        
          
          
            
            
              
            
            
            
            
            
            
            
            
            
            
            
            
            
            
            
            
            
            
        
          
          
            
            
            
            
            
            
            
            
            
            
            
              
                
            
              How would you describe your previous remodeling experience? 
              
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              Have you established the amount you are willing and able to invest in your project? 
              
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              If Yes, what is the range of your budget?
              
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              How will you fund this project?
              
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              To the best of your ability, list your project's “needs” and “wants”.  For example:        Needs – New kitchen; minimum 12x12 addition; safer entrance to our home.       Wants – New bathroom; fireplace in the addition; bonus space for an office.
              
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