home design requirements

If you're not ready to complete the Client Requirements Form below and would like to just have a brief communication about your new project, click here to go to our (brief) free consultation form

Client Requirements Form

A Message from the Designer:

Dear prospective client,

Completing this form does not imply any commitment on your part. It just says that you're willing to take the time to express your needs and to begin a dialogue that could result in the design of a home that will bring many years of comfort and happiness to you and your family.

My holistic approach to residential design requires information about your family's needs and the proposed site for your new home. Complete this form by clicking the boxes and filling the appropriate fields. If you're uncertain about any information, just leave the field blank. Typically, completing this form would take five to ten minutes of your time.

When you're through, press the 'Submit Form' button below and you will see a 'Form Confirmation' notice. This means that the form has already been submitted to us. After we review your completed form, we will contact you to discuss our design approach to your new home.

If you prefer to complete this form offline, please download this form and fax it to us at 949.666.5017.

Sincerely,

Cynthia Leif, AIA


Contact Info

First Name
Last Name
Street Address
City/State
Postal/Zip Code
Country
Daytime Phone No.
	Home Phone Work Phone
Best Time To Call You
Fax No.
E-mail
Where did you hear about us?	If Others/Referred, please specify:
Which "search term" brought you to our site?

Lot Info

Location of Existing Lot
Lot Area	sq. ft.
Lot Dimensions	frontage x depth
Lot Slope	degrees
Lot Orientation
Corner Lot?	Yes No
Irregular Lot?	Yes No If YES, please fax a copy of your lot plan
Neighboring Structures
Desired View Direction

Schedule

When do you want to start the Design Phase?

Target Date for Start of Construction

Architectural Style:	Please select Mediterranean Contemporary Modern/ Ultra Modern Victorian Not Sure yet Other: (please specify)

Details

Front Porch	Yes No

Foyer	Yes No

Living Room	Yes No Combined with Dining Room Fireplace Is Living Room separate from the Great Room? Comments

Dining Room	Yes No Number of persons Additional informal dining area Fireplace Comments

Great Room	Yes No Accessible to which rooms: Fireplace Comments

Den/ Music Rm	Yes No Toilet and Bath or: Powder Room Entertainment Center Comments

Office or Library	Yes No Toilet and Bath or: Powder Room Built-in shelves Comments

Guest Room	Yes No Guest Room located at: Ground Floor Second Floor Both Toilet and Bath Walk-In Closet Comments

Kitchen	Yes No Breakfast Nook Open Plan Enclosed Kitchen Island Counter Kitchen Appliances Comments

Laundry Room	Yes No Built-in shelves Located at Ground Floor Second Floor Ironing Area Comments

Servants' Quarter	Yes No Access: Access from Inside Access from Outside Both Toilet & Bath: Common Individual No. of Employees per Room Comments

Carport/Garage	Yes No Open Carport Covered Garage No. of Cars Comments

Lanai	Yes No Open Covered Screened With Trellis Comments

Master Bedroom	Yes No Walk-In Closet: Yes No His and Hers Combined walk-in Toilet and Bath: Yes No Enclosed Commode: Yes No Separate Shower Stall: Yes No Bathtub: Yes No Jacuzzi: Yes No Comments

Children's Rooms	Yes No Number of Rooms: Walk-In Closet: Yes No Toilet and Bath: Private T & B Common/ Adjoining T & B None Number of Children per Room: Comments

Storage Room	Yes No Size: Large Small None Location:

Attic Studio	Yes No Built-In Closet: Yes No Toilet and Bath: Yes No Access from which room? Comments

Basement	Yes No Built-In Closet: Yes No Toilet and Bath: Yes No Access from which room? Comments

Balcony	Yes No Open Covered With Trellis Location:

Roof Deck	Yes No

Outdoor Amenities	Swimming Pool Diving Pool Lap Pool Game Pool None Max. Depth in feet Length in feet Width in feet Lanai at Pool edge: Yes No Shower Room/Cabana: Yes No Gazebo Yes No Comments

Property Fencing	Yes No Type of Fencing: None Ornamental Only Ornamental with Security Comments

Landscaping	Yes No

Air-conditioning	Yes No Comments

Other Comments e.g. What your new home will mean to you and your family, What are the things that you don't like in your current house, What are the additional features that you want for your new home, etc. (your comments here help us understand your vision for your new home)


Total Floor Area you wish to achieve:
	*(between _____sq.ft. to _____sq.ft.)

Approximate budget for house construction

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		www.asis-leif.com
27702 Crown Valley Parkway, Suite D-4 # 270 Ladera Ranch (Orange County), CA 92694 USA Copyright © 2001-2007 All rights reserved		Toll Free U.S. Number 888.401.9142 Sales Support 949.307.1739 Facsimile 949.666.5017 sales@asis-leif.com