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Contact Information
First name
Last name:
Address:
Address2:
City:
State:
Zip:
Phone:
Email:
What is the best time to reach you?
When do you want to build?
Don't know yet
6 - 12 months
12 - 18 months
18 - 24 months
more than 24 months
Do you want to be on our e-mail list?
No
Yes
Would you like to get our brochure & DVD?
No
Yes
Do you have your land?
No
I own my land
What is your construction budget?
Which Bensonwood product interests you?
Plan, custom, or Question?
None. I just have a question
Custom Design
Custom Design
1. General Info
Square footage desired:
1000 or less
1200
1500
1800
2000
2500
3200
3500
4000
4500
5000
5500 or more
Number of floors:
1
2
3
4+
Number of bedrooms:
1
2
3
4
5+
Number of baths:
1
2
3
4+
Total parking needed:
1
2
3
4
5
6+
In-garage parking needed:
1
2
3
4
5
6+
Describe the people who will be living in the house:
2. Building Info
A. Beds & Baths
Master Bedroom Floor:
1
2
Describe your Master Suite:
Describe your other bedrooms:
Describe your other baths:
B. Kitchen/Dining
Do you want an eat-in kitchen?
No
Yes
What appliances are necessary?
What else do you want in your kitchen?
Describe your dining room:
C. Living Space
Do you want a vaulted great room?
No
Yes
Do you want a fireplace or stove?
Fireplace
Woodstove
Don't want either
Do you prefer an open plan?
No
Yes
What should be the "feel" of the living area?
D. Special Spaces
Describe any special spaces:
Do you have pets?
Do you have concerns about mobility or handicap access?
Do you have any special furntiure, such as pianos, large art works?
3. Your Expectations
Please share with us the expectations you have for your home. A home should be a place that soothes and shelters the people who live in it.
Site Info
Site Address:
Site City:
Site State:
Site Zip:
How many acres is your site?
Describe your site:
Do you have a site plan?
No
Yes
Describe the road access
Describe the power access
Sewer Type:
Municipal Sewer
Septic Tank
Water Type
Municipal
Well
Is permitting required?
No
Yes
Is there an architectural review board?
No
Yes
Do you need a basement?
No
Yes
Site grade
Flat
Sloped
Do you want daylight living space in the basement?
No
Yes
Site characteristics:
Wooded:
Clear:
Rocky:
Water:
Do you have a question or comment?
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