Ai Inta212 W1a2 Client Questionnaire
Ai Inta212 W1a2 Client Questionnaire
Ai Inta212 W1a2 Client Questionnaire
l. CLIENT
1. Who will live in the home? Robb and Brienne Stark
a. Adults: Number _2____approximate ages __33 & 36____special needs __N/A____.
b. Teens/young adults: Number ______ approximate ages ______ special needs ______
c. Children: Number ______ ages by sex ______ special needs ______
d. Elderly/disabled: Number ______ special needs ______
e. Pets: Number ______ kind(s) ______ size(s) ______ special needs ______ outside only
______ inside ______
f. Guests: Occasional ___yes___ frequent ______ long visits ___yes___ short visits
______
relatives __yes____ friends ______
Are they treated as family members? ______
Are they treated formally? ______
g. Other: Boarders ______ live in help ______
Do you expect the composition of the home to change in the next five years? ___possibly___ten
years? _
Children will be added ___possibly___ grown children will leave ______ adult relatives will move
in _____
Explain: __________They may possibly have children in the next 5 years
____________________________________________________________
_____________________________________________________________________________
I I. LIFE STYLE
1. What type of home do you live in?
Apartment ____yes__ house ______ other ______
Own the home __yes____ rent ______
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f. Games and active play: Bridge ______ board games ______ computer ______
played regularly ______ occasionally ______ never ______
Would you like a permanent card table ______ folding card table ______
Or do you use the dining table ______ other ______
Do you need space for active indoor play (dancing, billiards, ping-pong, etc.)
Type and location ____________
Do you need space for outdoor sports? Type and location ______
Do you need to provide for childrens play? Indoors ______, family room ______,
playroom ______ bedroom ______, outdoors ______ pool ______
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Do you serve beverages to guests? Seldom ______ occasionally ___yes___ often
______
Would you like provisions for a separate bar or drink caddy? Living room ______ family
room ______ kitchen ______ media room ___yes___ outdoors ______
c Communication
How important is the telephone? Very ______ somewhat ______
In what rooms would you like to have a telephone? Kitchen ______ living room ______
Family room ______ bedroom(s) ______ bathroom ______ outdoors ______
III Mobility
1. How long will you live in your present home?
Less than five years ______ five to ten years ______ indefinitely ___Y___
V Proxemics
1. How do you respond to space?
Do you feel the need for space in which to spread out?
Physically ______ visually ____Y__
Do you like to feel enclosed and protected?
Physically __Y____ visually ____N__
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Does daylight make you feel energetic? __Y____
Do you have any problems related to amount of light? ___N___
2. Artificial light:
Do you prefer: indirect ______ even __Y____ dramatic, focused lighting ______
Do you need special lighting for certain tasks? ___N___
3. Color:
How do you respond to color? Slightly __Y____ moderately _______ strongly ______
Do colors affect and/or express your moods? ___Y___
Do you like a lot of color? ___Y___ or restraint ______
Do you like colors that are?
Bright ___Y___ clear ______ dominant ______ clashing ______ deep ______
Rich ______ intense ______ positive ______ exuberant ______ dark ______
Glowing ______ mellow ______ delicate ___Y___ light __Y____ soft ______
Subdued ______ cool ___Y___ variegated ______ contrasting ______ raw ______
Monochromatic ______ neutral ___Y___
6. Style
Does the architecture of your home follow a certain style? __Y____
Do you want the interior to follow the same style? ___SOMEWHAT___
Must everything conform to the same style? ___N___
Or would you like to mix styles and periods, choosing individual pieces that you like?
_________________YES_______
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Can you envision a mixture that would be compatible (lively but not chaotic)?
_______________YES_________
Do you want to evolve your own style to express you and your life style?
____________YES____________
VIII Resources
1. Inventory of your present possessions:
Sufficient Replace
Beds _______________________________ _______________________________
Chests _______________________________ _______________________________
Chairs _______________________________ _______________________________
Lounge chairs _______________________________ _______________________________
Pull-up chairs _______________________________ _______________________________
Sofas _______________________________ _______________________________
Cocktail tbls _______________________________ _______________________________
Side tables _______________________________ _______________________________
Dining tbl _______________________________ _______________________________
Dining chairs _______________________________ _______________________________
Cabinets for
China _______________________________ _______________________________
Glass _______________________________ _______________________________
Silver _______________________________ _______________________________
Bookcases _______________________________ _______________________________
Carpets _______________________________ _______________________________
Rugs _______________________________ _______________________________
Curtains _______________________________ _______________________________
Draperies _______________________________ _______________________________
Bedding _______________________________ _______________________________
Lamps _______________________________ _______________________________
Artwork _______________________________ _______________________________
Office furn _______________________________ _______________________________
Range _______________________________ _______________________________
Refrigerator(s) _______________________________ _______________________________
Kitchen equip _______________________________ _______________________________
Washer_______________________________ _______________________________
Dryer _______________________________ _______________________________
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5. How much do you want to spend on upkeep?
Minimum ______ average ______ no limit ______
How much time do you want to spend on upkeep?
Minimum ______ average ______ no limit ______