If you're not ready to complete the Client Requirements Form below and would like to just have a brief chat with the designer, just drop her a note at [email protected] Client Requirements Form

A Message from the Designer:

Dear prospective client,

Completing this form does not imply any commitment on your part. It just says that you're willing to take the time to express your needs and to begin a dialogue that could result in the design of a home that will bring many years of comfort and happiness to you and your family.

My holistic approach to residential design requires information about your family's needs and the proposed site for your new home. Complete this form by clicking the boxes and filling the appropriate fields. If you're uncertain about any information, just leave the field blank. Typically, completing this form would take five to ten minutes of your time.

When you're through, you can fax this form to us at 949.666.5017. After having had a chance to analyze it, we will contact you to discuss the design approach to your new home.

Sincerely,

Cynthia Asis-Leif, AIA

Contact Info

First Name Last Name Street Address City/State Postal/Zip Code

Country United States of America Daytime Phone No.

Home Phone Work Phone Best Time To Call You Fax No. E-mail

Where did you Google hear about us? If Others/Referred, please specify:

Lot Info

Location of Existing Lot

Lot Area sq. ft. Lot Dimensions frontage x depth Lot Slope degrees Lot Orientation Corner Lot? Yes No Irregular Lot? Yes No If YES, please fax a copy of your lot plan Neighboring Structures

Desired View Direction

Schedule

When do you want to start the Design Phase? Target Date for Start of Construction

Architectural Style: Mediterranean Contemporary Ultra Modern Victorian Not Sure yet Other: (please specify)

Details Front Porch Yes No

Foyer Yes No Living Room Yes No

Combined with Dining Room Fireplace

Is Living Room separate from the Great Room?

Comments

Dining Room Yes No

Number of persons

Additional informal dining area Fireplace

Comments Great Room Yes No

Accessible to which rooms: Fireplace

Comments

Den/ Music Rm Yes No

Toilet and Bath or: Powder Room

Entertainment Center

Comments

Office or Library Yes No

Toilet and Bath or: Powder Room

Built-in shelves

Comments

Guest Room Yes No

Guest Room located at: Ground Floor Second Floor Both

Toilet and Bath

Walk-In Closet

Comments Kitchen Yes No

Breakfast Nook

Open Plan Enclosed Kitchen

Island Counter

Kitchen Appliances

Comments

Laundry Room Yes No

Built-in shelves

Located at Ground Floor Second Floor

Ironing Area

Comments Servants' Quarter Yes No

Access: Access from Inside Access from Outside Both

Toilet & Bath: Common Individual

No. of Employees per Room

Comments Carport/Garage Yes No

Open Carport Covered Garage

No. of Cars

Comments

Lanai Yes No

Open Covered Screened With Trellis

Comments

Master Bedroom Yes No

Walk-In Closet: Yes No His and Hers Combined walk-in

Toilet and Bath: Yes No

Enclosed Commode: Yes No

Separate Shower Stall: Yes No

Bathtub: Yes No

Jacuzzi: Yes No

Comments Children's Rooms Yes No

Number of Rooms:

Walk-In Closet: Yes No

Toilet and Bath: Private T & B Common/ Adjoining T & B None

Number of Children per Room:

Comments

Storage Room Yes No

Size: Large Small None

Location:

Attic Studio Yes No

Built-In Closet: Yes No

Toilet and Bath: Yes No

Access from which room?

Comments Basement Yes No

Built-In Closet: Yes No

Toilet and Bath: Yes No

Access from which room?

Comments

Balcony Yes No

Open Covered With Trellis

Location: Roof Deck Yes No Outdoor Amenities Swimming Pool Diving Pool Lap Pool Game Pool None

Max. Depth in feet

Length in feet

Width in feet

Lanai at Pool edge: Yes No

Shower Room/Cabana: Yes No

Gazebo Yes No

Comments Property Fencing Yes No

Type of Fencing: None Ornamental Only Ornamental with Security

Comments

Landscaping Yes No

Air-conditioning Yes No

Comments

Other Comments e.g. 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.) Approximate budget for house construction

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Important Note:

If building in a deed-restricted community, please supply complete design standards and covenants. Send topographical map if your lot is sloping. Send tree survey if you or your community require preservation of trees. Specify if you would like rooms/ spaces oriented to specific views or compass directions. Supply photographs of surrounding area and immediate lots to left and right and across the street.