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Questionnaire
Contact Information
The Subject:
First Name:
Last Name:
Address1:
Address2:
City:
Zip Code:
- 5 digits
State:
AL
AK
AZ
AR
CA
CO
CT
DE
DC
FL
GA
HI
ID
IL
IN
IA
KS
KY
LA
ME
MD
MA
MI
MN
MS
MO
MT
NE
NV
NH
NJ
NM
NY
NC
ND
OH
OK
OR
PA
RI
SC
SD
TN
TX
UT
VT
VA
WA
WV
WI
WY
Telephone: (daytime)
Home Phone
Work Phone
Best Time To Call You:
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AM
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Fax:
Email:
*
Lot Info:
Location of Existing Lot:
DC
MD
VA
Lot Area: (sq. ft.)
optional
Lot Dimensions: (frontage x depth)
optional
Lot Slope: (degrees)
optional
Corner Lot?
Yes
No
optional
Irregular Lot?
Yes
No
optional
Desired View Direction:
optional
Schedule:
When do you want to start the Design Phase?
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YYYY
2008
2009
2010
2011
Target Date for Start of Construction:
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2011
Your Comments
:
*
What your new home will mean to you and your family? What are the things that you don't like in your current house? What are the additional features that you want for your new home, etc. (your comments here help us understand your vision for your new home)...
Total Floor Area you wish to achieve:
(between sq.ft. to sq.ft.)
from
to
Approximate budget for house construction: