Kitchen Design Survey Form Nkba

Summary

Company Name, Address, Email
Designer:
Kitchen Design Survey Form
Date:
Name:
Residence:
Jobsite Address:
Client 1: Client 2:
Home Phone: Home Phone:
Work Phone: Work Phone:
Cell Phone: Cell Phone:
Email: Email:
Appointment Allied Professional
Schedule: Name:
Call When Ready: Firm:
Times Available: Address:
Directions: Office Phone:
Cell Phone:
Email:
Notes:
©2020 NKBA BMF8 Copyright 2020 by National Kitchen and Bath Association. NKBA is providing this material for general information only. This information does not 1
constitute the provision of legal advice, accounting services, or professional consulting of any kind, nor should it be construed as such. Resources such as this
business form are meant solely for informational purposes and use

General Client Information
1.How long do you intend to own the jobsite residence?
2. What do you dislike most about your present kitchen?
3..What do you like most about your present kitchen?
4. Sustainable design ideas important to your family:
Use of “Green” Products General products made from recycled materials: Cabinets Counters Floors Building Materials
Special water conservation products: Wood products supplied by environmentally responsible manufacturers
Energy efficient appliances: Sustainable design details incorporated into the plan:
Energy efficient lighting systems: Areas for recycling waste incorporated into the plan:
5. When was the house built? How old is the present kitchen?
6. How many household members live in the home?
Name Age Handed Height Physical Limitations/Mobility Aids
R L
R L
R L
R L
R L
R L
7.Personal information about the kitchen:
What type of cooking is done in the home?
Who is the main cook?
Do you share or rotate cooks?
Who does most of the cleanup?
Are there any specialty appliances needed?
©2020 NKBA BMF8 Copyright 2020 by National Kitchen and Bath Association. NKBA is providing this material for general information only. This information does not 2
constitute the provision of legal advice, accounting services, or professional consulting of any kind, nor should it be construed as such. Resources such as this
business form are meant solely for informational purposes and use

8. How does the family use the kitchen for meals at home?
daily heat & serve meals daily “from scratch” meals daily “bring in” meals weekend “quantity” cooking
weekend family meals ethnic or specialty cooking (please specify)
What type of foods is the family cooking?
9. What type of seating would you like?
separate table- counter number of seated diners
30” counter height 36” counter height 42” counter height
ht
10. Do you have any furniture or items you would like to consider in the design of the kitchen?
11. Do you entertain frequently?
12.What other activities will take place in your kitchen?
Computer Usage: Hobbies: Medicine Center / Use Children Playing
Eating: Laundry Message Center Study/Homework
Growing Plants: Liquor/Wine Storage Planning Desk TV /Radio/Media/CD
13. What is your cycle for shopping for food?
Daily Twice Weekly Weekly Bi-weekly Monthly
14. Style of Home (Exterior):
15. Is the home historic? Ye
Yes No What
Wh time period?
Are there historic covenants or restrictions affecting
cti the home?
16. Is the home part of a Homeowner’s Association? Ye
Yes No
Is there Homeowner’s Association covenants or restrictions affecting the home? Ye
Yes No
17. Style of Home (Interior)
Colors:
Materials:
Furniture:
Accessories:
Other:
©2020 NKBA BMF8 Copyright 2020 by National Kitchen and Bath Association. NKBA is providing this material for general information only. This information does not 3
constitute the provision of legal advice, accounting services, or professional consulting of any kind, nor should it be construed as such. Resources such as this
business form are meant solely for informational purposes and use

Cabinetry Source
Key: KS= Kitchen Specialist Use Existing Furnished by Installed by
O= Owner OA= Owners Agent Yes No KS O/OA KS O/OA
Construction Base Wall Tall Island Face Material Base Wall Tall Island
Framed Wood-Species
Frameless Laminate
Cabinet Style Paint
Full Overlay Acrylic
Partial Overlay Metal
Lip Other
Inset Door Style:
Hardware
Knob
Pull Color and Finish:
Finger Pull
Design Information
Special Details:
©2020 NKBA BMF8 Copyright 2020 by National Kitchen and Bath Association. NKBA is providing this material for general information only. This information does not 4
constitute the provision of legal advice, accounting services, or professional consulting of any kind, nor should it be construed as such. Resources such as this
business form are meant solely for informational purposes and use

Soffit / Fascia
Use Existing Furnished by Installed by
Yes No KS O/OA KS O/OA
Fascia / Soffit Construction Fascia / Soffit Materials
Open Extended Flush Recessed Remove To Ceiling Wallpaper Wood Display Rail Paint Lighted Cornice
Other Other
Countertops
Use Existing Furnished by Installed by
Yes No KS O/OA KS O/OA
Material Kitchen Island Other Edge Treatment Kitchen Island Other
Ceramic Tile Thickness
Size Shape:
Grout Bevel
Concrete Ogee
Engineered Stone Bull Nose
(quartz) Full
Granite ½ Full
Limestone Square
Marble Eased
Plastic Laminate Contrast Color
Stainless Steel Other
Soapstone Backsplash
Solid Surface Match to Counter
Wood Full Height
Other Endsplash 4” High
Other Color or Pattern:
Other Details:
©2020 NKBA BMF8 Copyright 2020 by National Kitchen and Bath Association. NKBA is providing this material for general information only. This information does not 5
constitute the provision of legal advice, accounting services, or professional consulting of any kind, nor should it be construed as such. Resources such as this
business form are meant solely for informational purposes and use

Sink
Use Existing Furnished by Installed by
Yes No KS O/OA KS O/OA
Material Sink #1 Sink #2 Sink #3 Mounting Sink #1 Sink #2 Sink #3
Composite Self-Rimming
Enamel / Cast Iron Under-Mount
Porcelain / Steel Integral
Stainless Steel Counter Section
Solid Surface Apron
Other Other
Other Special Features Sink #1 Sink #2 Sink #3
Number of Bowls Sink #1 Sink #2 Sink #3 Drainboard L
One Drainboard R
Two Strainer
Same Size Accessories
Large / Small 1 Type
Three 2 Finish
Color Sink #1 Sink #2 Sink #3 3
4
Details: 5
Faucet
Use Existing Furnished by Installed by
Yes No KS O/OA KS O/OA
Material Sink #1 Sink #2 Sink #3 Style / Features Sink #1 Sink #2 Sink #3
Brass One Handle L R
Chrome Two-Handles
Epoxy-Color Bridge Type
Gold Pot Filler
Brushed Nickel Goose Neck
Pewter Pull-out Spray
Stainless Steel Automatic Operation
Other Other Features Sink #1 Sink #2 Sink#3
Other Bowl Separate Spray
Other Size Instant Hot
Other Water Filter
Other Dishwasher Air Gap
Dispensers
Use Existing Furnished by Installed by
Yes No KS O/OA KS O/OA
Type Sink #1 Sink #2 Sink #3 Type Sink #1 Sink #2 Sink #3
Dish Detergent Hand Soap
Hand Lotion
Lighting Systems
Use Existing Furnished by Installed by
Yes No KS O/OA KS O/OA
General Ambient
LED Halogen Fluorescent Xenon Cove Recessed Pendant Surface mtd

Decorative Track LED Halogen Fluorescent
LED Halogen Fluorescent Xenon Other
Under Cabinet Other
LED Halogen Fluorescent Xenon Other
©2020 NKBA BMF8 Copyright 2020 by National Kitchen and Bath Association. NKBA is providing this material for general information only. This information does not 6
constitute the provision of legal advice, accounting services, or professional consulting of any kind, nor should it be construed as such. Resources such as this
business form are meant solely for informational purposes and use

Appliance & Fixture Specifications - Option 1
(Option 1 to be used by design professionals who select specific appliances for the client.)
Size Color Item / Description Manufacturer Model # Notes
Surface Cooking Configuration: P=Professional CT=Cooktop (controls on top)
RT=Range Top (controls on front)
Style: DI = Drop-in FS=Freestanding SI = Slide-in
Range Config. Fuel
Cooktop Config. Fuel
Rangetop Config. Fuel
Surface Ventilation Remote Blower Interior Blower Recirculate CFM Height Transition
Hood: Wall Mounted Island
Duct Cover:
Hood Liner and/or Blower:
Down Draft:
Micro Combo:
Oven Cooking
Oven: Single Double
Oven / Microwave Combo
Warming Drawer Quantity:
Microwave and Specialty Ovens Configuration: CT= Countertop BI= Built-In OTR= Over The Range
Microwave Confiig

Trim Kit:
Other:
Refrigeration Configuration: SxS= Side-by-Side UCDR= Undercounter Drawers UCD= Undercounter Door L/R TF= Top Freezer BF=Bottom Freezer
Style: Free Standing BI= Built-In (Standard) IN=Built-In (Integrated) AR=All Refrigerator AF=All Freezer
Refrig. Config Style:
Refrig. Config Style:
Refrig. Config Style:
Front Panel
Dishwasher / Compactor Style: ST= Standard IN= Integrated SI= Semi-Integrated DR=Drawer
Dishwasher Style
Compactor Style
Front Panel
Water Products Configuration: S= Single D=Double BL= Big and Little Style: UM= Undermount TM= Top Mount IN= Intergral AP= Apron C=Counter Section
Sink #1 Config Style
Faucet:
Sink #2 Config Style
Faucet:
Sink #3 Config Style
Faucet:
Sink Accessories:
Instant Hot:
Water Filter:
Garbage Disposer Quantity
Miscellaneous (Laundry, BBQ / Outdoor Equip, Intercom, Vacuum, Espresso, Ironing Center, Water Softener, Warranty, Icemaker, etc.)
End Appliance & Fixture Specifications - Option 1
©2020 NKBA BMF8 Copyright 2020 by National Kitchen and Bath Association. NKBA is providing this material for general information only. This 7
information does not constitute the provision of legal advice, accounting services, or professional consulting of any kind, nor should it be construed as
such. Resources such as this business form are meant solely for informational purposes and use

Appliance & Fixture Specifications - Option 2
(Option 2 is used by designers who gather all generic appliance info., rather than specifying specific appliances.)
Range Cooktop / Range Top
Use Existing Furnished by Installed by Use Existing Furnished by Installed by
Yes No KS O/OA KS O/OA Yes No KS O/OA KS O/OA
New Existing Finish: Size: New Existing Finish: Size:
Fuel Fuel
Electricity Natural Gas Electricity Natural Gas
Propane Propane
Type Type
Free-Standing  Drop-In  Slide-In Free-Standing Drop-In Slide-In
Integrated Professional Style Integrated Professional Style
Electric Surface Units Electric Surface Units
Conventional Coil  Solid Disk Sealed Glass Conventional Coil Solid Disk Sealed Glass
(Electric Hob) Ceramic  (Electric Hob) Ceramic
Magnetic Induction  Halogen Unit  Thermostatic Magnetic Induction Halogen Unit Thermostatic
Controlled Unit Controlled Unit
Dual Size Unit    Dual Size Unit
Gas Surface Units Gas Surface Units
Open-Air (Conventional)  Sealed  High BTU  Open-Air (Conventional) Sealed High BTU
Surface Controls Surface Controls
Electronic  Conventional Knob   Electronic Conventional Knob Griddle Grill
Other Cooking Surface Features Other Cooking Surface Features
Griddle  Grill  
Oven Features
Electric Oven  Gas Oven  Broiler 
Convection Oven  Pyrolytic (Self- Other 
Cleaning)
Controls: Conventional Knob Electronic 
Other Range Features
Ventilation System
Use Existing Furnished by Installed by
Yes No KS O/OA KS O/OA
Updraft / Canopy Downdraft / Proximity
Exhaust Recirculating Surface Mount Pop-Up (Behind Cooktop) Pop-Up (Next to Cooktop)
Hood Ventilation System Installation
Match to Cooktop  Match to Cabinetry  New Ductwork Needed Duct Termination
Custom Design  Slim Line / Telescoping  Space to Run Ductwork
Ovens Microwave Oven
Use Existing Furnished by Installed by Use Existing Furnished by Installed by
Yes No KS O/OA KS O/OA Yes No KS O/OA KS O/OA
Conventional Microwave Oven
New Existing Finish: Size:  New Existing Finish: Size: 
Configuration Installation
Single Double Combo Micro / Oven  Free-Standing Boxed/Built-In Integrated
Under-Counter Installation Wall Installation Configuration
High-Speed Cooking Convection Cooking- Steam Cooking  Microwave-Ventilation Combo Professional Style
Convection Cooking- Gas
elective Pyrolytic (Self-Cleaning) Microwave-Convection Cooking Microwave-Light Cooking
Controls: Conventional Knob Electronic  Features
Other Features Browning Element Turntable
©2020 NKBA BMF8 Copyright 2020 by National Kitchen and Bath Association. NKBA is providing this material for general information only. This 8
information does not constitute the provision of legal advice, accounting services, or professional consulting of any kind, nor should it be construed as
such. Resources such as this business form are meant solely for informational purposes and use

Refrigerator / Freezer
Use Existing Furnished by Installed by
Yes No KS O/OA KS O/OA
Type #1 #2 #3 Features #1 #2 #3
Single Door Refrigerator Ice Maker
Single Door Freezer Ice Dispenser (Door)
Refrigerator / Freezer:
Side by Side Mini-Door Access
Top Mount Water Disp. (Outside)
Bottom Mount LCD Screen
Undercounter
Modular Units:
Refrigerator Drawers Other Features #1 #2 #3
Freezer Drawers
Freezer:
Upright
Chest
Installation #1 #2 #3 Other Cooling Appliances
Free-Standing Ice Maker Wine Storage
Boxed-In
Integrated
Under-Counter
Decorative Panels
Dishwasher
Use Existing Furnished by Installed by
Yes No KS O/OA KS O/OA
Type #1 #2 Interior Finish #1 #2
Door Plastic
Drawers Stainless
Installation #1 #2 Dishwasher Features #1 #2
Built-In Adjustable Shelves
Integrated with Decorative Flatware Trays
Panel to Match Cabinets
Stainless Steel Multiple Racks
Color Front Special Cycles
Stem Storage
Other Clean-Up Appliances
Use Existing Furnished by Installed by
Yes No KS O/OA KS O/OA
Type #1 #2 #3 Type #1 #2 #3
Disposer: Trash Compactor
Batch Feed
Continuous Feed
Other Appliances
Use Existing Furnished by Installed by
Yes No KS O/OA KS O/OA
Type:
Built –In Small Appliances Computer Intercom VCR / DVD Warming Drawer Washer / Dryer
Radio Telephone Television Other: Other: Other:
End of Appliance & Fixture Specifications - Option 2
©2020 NKBA BMF8 Copyright 2020 by National Kitchen and Bath Association. NKBA is providing this material for general information only. This information does not 9
constitute the provision of legal advice, accounting services, or professional consulting of any kind, nor should it be construed as such. Resources such as this
business form are meant solely for informational purposes and use

Flooring
Use Existing Furnished by Installed by
Yes No KS O/OA KS O/OA
Floor Preparation Floor Covering
Removal: Material
Leveling: Bamboo Carpet Ceramic Tile Cork
Shim: Laminate Linoleum Vinyl-Sheet Vinyl-Tile
Subfloor Material: Wood Wood-Engineered Stone Other:
Underlayment: Color or Pattern:
Baseboard Under Trim: Describe:
Transition Treatment
Windows Check all that apply

Slider = S Casement = C Double-Hung = DH Skylight = SL Bow = BO Bay = BA
Vinyl = V Aluminum = A Aluminum Clad = AC Wood = W Glass Block = GB
Use Existing Furnished by Installed by
Yes No KS O/OA KS O/OA
Interior Wall Patch: Exterior Wall Patch: Sink Vent Relocation:
Window # Configuration Size Screen or Relocate
Screen: Yes No
Screen: Yes No
Screen: Yes No
Screen: Yes No
Screen: Yes No
Can windows be relocated? Relocate Yes No
Doors Check all that apply

Bi-Fold = BF Slider = S Pocket = P French = F Swing = SW
Solid Core = SC Steel = ST Hollow Core = HC
Use Existing Furnished by Installed by
Yes No KS O/OA KS O/OA
Door # Configuration Hinge Size Screen or Relocate
L R Screen: Yes No
L R Screen: Yes No
L R Screen: Yes No
L R Screen: Yes No
L R Screen: Yes No
L R Screen: Yes No
Can doors be relocated? Relocate: YYes No
Hardware Finish: Passage Privacy Knob Lever
(Note: Door hinging determined as you face door and open toward you.)
Surfaces
Use Existing Furnished by Installed by
Yes No KS O/OA KS O/OA
Wall Preparation New Plaster/Drywall Clean Patch Exist Remove Exist. Covering:
Wall Finish Paint Wallpaper Tile Other:
Ceiling Finish Paint Wallpaper Suspended Vaulted Other:
Ceiling Preparation New Plaster/Drywall Clean Patch Exist Remove Exist. Covering:
Other: Repairs:
Window Treatment Blinds Fabric Shutters Other:
©2020 NKBA BMF8 Copyright 2020 by National Kitchen and Bath Association. NKBA is providing this material for general information only. This 10
information does not constitute the provision of legal advice, accounting services, or professional consulting of any kind, nor should it be construed as
such. Resources such as this business form are meant solely for informational purposes and use

Construction Source Category
Use Responsibility
HVAC/HEATING Existing KS O/OA
Yes No
HVAC Air Conditioning System Age:
Details: Planned Improvements:
Yes No
Heating System Age:
Heating System: Fuel Source Type:
Planned Improvements:
Cooling Ventilation: Relocate, Replace Existing Cooking Ventilation Ductwork Age:
Planned Improvements:
Electrical Work Yes No New Service Panel:
Details: Code Updates:
Wire Type: Modifications to Exist. Service:
Open Circuits:
Plumbing: Yes No New Rough-In Requirements:
Water Supply: New Drainage Requirements:
New Vent Stack Requirements:
Waste Pipe Type:
Modifications to Exist. Lines:
General Carpentry Yes No
Existing Wall:
Reconstruction Work (Except as previously noted.)
Existing Trim:
Windows:
Demolition Work: Yes No Doors:
Removal of Windows:
Interior Walls:
Removal of Ceiling:
Removal of Floor Covering: Exterior Walls:
Removal of Soffitts:
Cabinet Install. / Woodworking Trim Install:
Removal of Debris:
Miscellaneous Work Yes No Miscellaneous Work:
Details: Building Permit(s):
Structural Engineering / Architectural Fees:
Inspection Fees:
Other:
©2020 NKBA BMF8 Copyright 2020 by National Kitchen and Bath Association. NKBA is providing this material for general information only. This 11
information does not constitute the provision of legal advice, accounting services, or professional consulting of any kind, nor should it be construed as
such. Resources such as this business form are meant solely for informational purposes and use

Existing Construction Details- continued
18.Condition of –
Surface Walls
Floors:
Ceilings:
Soffit / Fascia:
Squareness of Corners: (Parallel Wall to Within ¾)
Is there any hazardous material to be removed?
19. Construction of Floor: Slab Frame
20. Direction of Floor Joists: Parallel to Longest Kitchen Wall Perpendicular to Longest Kitchen Wall Joist Height:
21. Exterior: Brick Aluminum Stucco Wood Other:
22. Interior: Drywall Lath & Plaster Wood Other:
23. Windows Can Be Relocated: Yes No Doors Can Be Relocated: Yes No Walls Can Be Relocated: Yes No
24. Windows: Sliders Double Hung Skylights Casement Greenhouse Bow/Bay Other:
25. Sewage System: City Service Septic System Other:
26. Type of Roof Material: Age of Roof:
Access:
Can Equipment Fit Into The Room?
Basement: Attic: Crawl Space:
Material Storage: Trash Collection Area:
HVAC: Describe Existing System: Heating:
Ventilation: Air Conditioning:
Plumbing:
Location of Existing Vent Stack: Type of Trap:
Add Additional Line:
Electrical
GFCI Existing: Yes No
New Wiring Access: Hard Average Easy Number of Circuits Open for Expansion:
Existing Electrical Service Capacity: Number of 120V Circuits: Number of 240V Circuits:
27. Room Below Kitchen
©2020 NKBA BMF8 Copyright 2020 by National Kitchen and Bath Association. NKBA is providing this material for general information only. This 12
information does not constitute the provision of legal advice, accounting services, or professional consulting of any kind, nor should it be construed as
such. Resources such as this business form are meant solely for informational purposes and use

Websuch. Resources such as this business form are meant solely for informational purposes and use. Appliance & Fixture Specifications - Option 1 (Option 1 to be used by design professionals who select specific appliances for the client.) End Appliance & Fixture Specifications - Option 1 Size Color Item / Description Manufacturer Model # Notes

Download Now

Documemt Updated

Popular Download

• › K 4u Kansas Withholding From Ksrevenuegov
• › K 4 Employees Withholding Allowance Certificate
• › Kindle Email File Formats
• › Kodak Motion Picture Products Price Catalog Us
• › Kansas Ownership Change Form Ksrevenuegov
• › Kuppingercole Executive View Informatica Cloud
• › Kinds Of Shopping Uny
• › Kanban Cards Ideas Pdf Imagestemplatenet
• › Kyocera Cloud Print And Scan Kyocera Document Solutions
• › Kiosk Company Overview Kiosk Information Systems
• › Kareo Ehr Template Editor Guide
• › Keystone Stars Internal Assessment Process Guide 0 The
• › Kaiser Permanente Small Business Employee
• › Kodak Prinergy On Demand
• › Kaiser Permanente Small Business Employee Enrollment Kp
• › Kitchen Design Survey Form Nkba
• › K Summary Food And Drug Administration
• › Know Your Numbers Atlas Ipscom
• › Kpmg Legal Services Brochure
• › Kentucky Secretary Of State

Frequently Asked Questions

What is the nkba?

The National Kitchen and Bathroom Association (NKBA) is the only specialist organisation in New Zealand dedicated to connecting homeowners with passionate kitchen and bathroom design and manufacturing professionals whilst also delivering inspiration, ideas, tips and the latest in trends, products and techniques for stunning bathrooms and kitchens.

Can i reproduce a bath design survey form?

No part of this document may be reproduced in any form by Photostat, microfilm, xerography, or any other means, or incorporated into any informational retrieval system, electronic or mechanical, or transmitted, in any form or by any means, without the prior consent of the copyright owner. 37945-1 Designer: Bath Design Survey Form

What will be the most popular kitchen benchtops in 2022?

For the first time, porcelain is predicted to be the benchtop of choice in 2022. The ultra-durable material has been slowly rising in popularity over the years, and is now the preferred material for many designers, with 46% predicting it to be in every new kitchen in 2022.