
| - New Cabinets | Want Need |
| - New Countertops | Want Need |
| - New Floor | Want Need |
| - New Oven(s) | Want Need |
| - New Refrigerator/Freezer | Want Need |
| - New Cooktop | Want Need |
| - New Microwave | Want Need |
| - New Dishwasher | Want Need |
| - New Sink(s) | Want Need |
| - New Light Fixtures | Want Need |
| - Cutting/Chopping Surfaces | Want Need |
| - Waste Disposal | Want Need |
| - Trash Compactor | Want Need |
| - Recycling Bins | Want Need |
| - Workspace/Storage | Want Need |
| - Pantry | Want Need |
| - Wet Bar | Want Need |
| - New Window(s) | Want Need |
| - Desk Area | Want Need |
| - Eating Area | Want Need |
| - Others _________________________ | Want Need |
| ________________________________ | Want Need |
| ________________________________ | Want Need |
| ________________________________ | Want Need |
| Room Use | |
| Are you the primary cook? | Yes No |
| Do other household members cook? | Yes No |
| Does any of these members have physical limitations? | Yes No |
| What kind of cooking do you normally do? | Quick Meals
Full Course Large/Family Other |
| Do you often entertain? | Yes
No Formal Informal |
| Do you use the kitchen for socializing? | Yes No |
| Do you plan to store/sort recyclables in the kitchen? | Yes No |
| What kind of look would you like your kitchen to posses? | Family
Retreat
Formal Open & Airy Personal Design Sleek/ Contemporary Strictly Functional Traditional Warm & Cozy Country |
450 Riverside Avenue
Bristol,
Connecticut 06010
Toll Free: 1-800-562-1810
(860) 583-9190
Fax:
(860) 583-7833
or e-mail us at: modern@moderncabinets.com