Name *

First Name

Last Name

Phone Number *

(###)

###

####

Are you moving? *

Yes

No

What's your closing or move-in date? (If applicable)

MM

DD

YYYY

In what kind of home do you live/will you be living? *

Apartment/condo

Townhome/row house

Single family home

Who else shares the space(s)? *

Just me

Spouse/significant other

Kids

Pets

Roommates

Parents/in-laws

How many people live in your household including you? *

1

2

3

4

5

6

7

8+

Are you planning to change the floor plan or keep the general footprint the same? *

Select all that apply

Change it

Keep it the same

Not sure - let's discuss

Do you have plans to remove any walls or change the space structurally? *

Yes

No

Unsure - let's chat

Would you like to have any of the following in your new kitchen?

Pull out trash/recycling cabinet

Island

Eat in area

Open shelving

Pantry cabinets (full height cabinetry)

Panel-ready appliances

How many people usually cook in the kitchen? *

Think about how many people use the space at a time.

1

2

3

What's your timeline for completing this project? *

ASAP

3-6 months

6-9 months

9-12 months

Do you have a contractor? *

Yes

No

We're working on it

What style or "feel" would you like your new kitchen to have?

Check all that apply. We'll use your inspiration photos as a guide as well!

Modern

Traditional

Coastal

Transitional

Farmhouse

Mid-Century Modern

Industrial

Bohemian

Formal

Casual

Tailored

Colorful

Neutral

Are you planning to paint or add wallpaper? *

Yes

No

Not sure - let's discuss

What metal finishes do you like or want to use? *

Select all that apply

Brass

Nickel

Chrome

Black

Oil-Rubbed Bronze

How did you hear about Mix & Match Design Company? *

Friend/family

Internet search (e.g. Google)

Instagram

Facebook

Other