You are on page 1of 2

Client Survey

Family Information

Adult Names/Ages Daequan 35 Jonathan 27

Occupations Pharmacist, waiter

Child Names/Ages Samantha 5

Child Names/Ages

Physical Disabilities Clubbed Foot

Other Special Needs

Pets 3 dogs

Architectural Details

House Style Bungalow

Number of Bedrooms 3

Number of Bathrooms 2

Square Footage 1200

Deck or Patio Patio

Extra Storage Shed

Leisure Activities Archery, Gardening, Long walks on the beach, Volunteering


at the animal shelter
Hobbies

Entertainment

Equipment

Special Needs

Disabilities/illness Child has a clubbed foot


Energy Saving/ LEED
Concepts and Ideas

Site Development

Water Savings

Energy Efficiency

Materials Selection

Indoor Environmental
Quality

Other Ideas

You might also like