Home from the Heart Survey

Type Of Home

Size of home: sqft.
Number of floors:
Basement
Wheelchair accessible
Budget: $
Exterior style: (i.e. Ranch, Contemporary, Traditional, Country, etc.)

Living Areas

	Informal "great room" concept with open living, kitchen & dining areas
	Formally defined spaces with separation of functions
	Combination; formal spaces, plus great room

Number of bedrooms:
Number of baths:
Number of "en-suites":
(bedrooms with private baths)

Utility Room

	Adjacent to kitchen/garage
	Adjacent to bedrooms

Owners' Suite

Best location:

	Main Floor
	Upper Floor
	Isolated from other bedrooms
	Adjacent to other bedrooms

Kitchen

	Gourmet style kitchen, rich in amenities
	Full function kitchen with ample features
	Efficient kitchen with focus on space saving and multiple functions
	Open to family room
	Adjacent to garage

Garage

Number of cars
Storage/shop

Extras

Interior:
Fireplace/woodstove
Vaulted ceilings
Skylights
Computer center
Wet/Service bar
Swimming Pool
Exterior:
Front porch
Deck/patio
Screened porch
Courtyard
Fireplace
Spa/hot tub
Water feature

Your Household

Name (optional)

Address (optional)

City State Zip

Number of people in your household Your age

I plan to build / buy a home in the next years.