New Home? yes no Remodeling? yes no If so, what areas? How many people in your family? What are their ages? What best describes your style/color preferences? Do you entertain often? yes no   Formally or informally? formally informally If remodeling, how much longer do you plan to stay in your home? What things do you like about your current home? What things don't you like? Do you or anyone in your family have any physical limitations? yes no If so, what? What is your desired time frame for this project? What is your budget? What is the best time to reach you? Name? Address? Home Telephone Number? Work Telephone Number? Fax? Email Address? Comments/Questions?
	541-344-1793 • 40 E. 13th, Eugene. Oregon 97401