Client Requirements Form

If you're not ready to complete the Client Requirements Form below and would like to just have a brief chat with the designer, just drop her a note at
che@asis-leif.com

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 Query' button below to process the form. You will have a chance to review your entries on the next page. After I have had a chance to analyze it, I will contact you to discuss my design approach to your new home and I will be sending you a FREE copy of our company video CD with some great animations from our project gallery.

Sincerely,

Cynthia Asis-Leif, AIA


Contact Info

First Name
Last Name
Street Address
City/State
Postal/Zip Code
Country
Phone No
Fax No
E-mail
Where did you hear about us?	If Others/Referred, please specify:

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

Target Date for Completion of Drawings

Target Date for Start of Construction

Architectural Style:	Mediterranean Contemporary 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 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 or Music Room	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 Covered 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 Bathtub: Yes No Jacuzzi: Yes No Comments

Children's Rooms	Yes No Number of Rooms: Walk-In Closet: Yes No Toilet and Bath: Separate T & B 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 Location:

Roof Deck	Yes No

Outdoor Amenities	Type of Pool 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

Total area of air-conditioned/ heated space you wish to achieve	*(between _____sq.ft. to _____sq.ft.)

Approximate budget for house construction

Important Note:

	If building in a deed-restricted community, please supply complete design standards and covenants.
	Send topographical map if your lot is sloping.
	Send tree survey if you or your community require preservation of trees.
	Specify if you would like rooms/ spaces oriented to specific views or compass directions.
	Supply photographs of surrounding area and immediate lots to left and right and across the street.

The 'Asis-Leif Designs' video CDrom is FREE when you fill up the Client Requirements Form.
Fill up the form below and request your copy now!

All packages are sent via Mail.
Note: Only those with valid mailing addresses and contact numbers will be processed.

____________________________________________________________

'Asis-Leif Designs' Company Video CD-ROM:
Our company video plus bonus--- 3d computer-generated still images of projects; exterior animations/ flyovers; interior walk-throughs.

Recommended Requirements: Win9x/ME/NT/2000, 64MB RAM, 24x CDROM Drive, 24 bit color-monitor, Sound Card and External Speakers

____________________________________________________________

Name: (Required)

Email address: (Required)

Mailing Address: (Required)

Phone Number:

Fax Number:

Do you have broadband (DSL/cable modem) internet access?
Yes No

____________________________________________________________

Newsletters and Articles
Click here to read issues of the Company Newsletters ("The Builder" 1 & 2) and Featured Articles about the company.

____________________________________________________________

See a gallery of our custom-designed homes.

____________________________________________________________

3972 Barranca Parkway, Bldg.J #161 Irvine, California 92606 USA TEL: (949) 233-8061 FAX: (949) 654-5954 Copyright 2001 Asis-Leif Designs. All rights reserved.
	for more information: sales@asis-leif.com