Your Name:
Mailing Address:
City:
State:
Zip Code:
Home Phone:
Work Phone:
Cellular Phone:
E-Mail:
Describe your dream home:
Is this your first home?
Yes
No
What type of home are you interested in?
Conventional Package
Custom Conventional
Log Package
Custom Log
If log, what is your preferred style of logs?
D-Log Round Outside Flat Inside
Dove Tail Log
Full Round Swedish Cope
Hand Crafted 12" to 16" Logs
Half Log with Insulated Framed Walls Inside
Full Round Tongue and Groove
Other
If log, what is your preferred log species?
White Pine
White Cedar
Ultra R (sip) Log
If conventional, what is your preferred
primary building material?
Brick
Stone
Wood
Other
If conventional, what is your
preferred variety of siding?
Brick
Cedar
Pine
Oak
Redwood
Stone
Other
If wood siding, what style do you want?
Planks
Shingles
Do you have a sketch or blueprint?
Yes
No
Do you wish to hire an architect?
Yes
No
Do you own property for your home?
Yes
No
Where is your property located?
Where do you plan to buy property?
Will this be your:
Primary Residence
Secondary Residence
Vacation Home
What type of building project is this?
Owner builder Turnkey
What is your total budget?
Not including:
land
well,
septic
electricity or
telephone
Less than $100,000
$100,000-$200,000
$200,000-$300,000
$300,000-$400,000
$400,000-$500,000
More than $500,000
Do you need construction financing?
Yes
No
Do you need mortgage financing?
Yes
No
What square footage would you like?
How many bedrooms do you want?
1 2 3
4 5 More
How many bathrooms do you want?
1 2 3
4 5 More
Do you need shell erection?
Yes
No
Do you want a prow?
Yes
No
Do you like open living space?
Yes
No
Do you like vaulted ceilings?
Yes
No
Do you want a separate living room?
Yes
No
Do you want a basement?
Yes
No
Do you want a loft?
Yes
No
Do you want an open deck?
Yes
No
Do you want a covered porch?
Yes
No
Do you prefer to eat in the kitchen?
Yes
No
Do you want a breakfast nook?
Yes
No
Do you want a walk-in pantry?
Yes
No
Describe your ideal kitchen:
Do you like a lot of windows?
Yes
No
Do you want dormer windows?
Yes
No
Do you want a window wall?
Yes
No
Do you want custom windows?
Yes
No
What is your preferred window style?
How about window brand?
Do you want skylights?
Yes
No
Do you want a fire place?
Yes
No
Where do you want the fire place?
Living Area
Bedroom
Study/Office
Kitchen
Dining Area
Do you want a wood stove?
Yes
No
Where do you want the wood stove?
Living Area
Bedroom
Study/Office
Kitchen
Dining Area
What is your preferred stove brand?
What is your preferred type
of primary heating system?
Gas Forced Air
Electric Forced Air
Electric Baseboard
Wood Stove
Solar
other
Do you want custom furniture?
Yes
No
What type of roofing do you want?
Metal
Cedar Shake
Concrete
Composite
Asphalt Shingle
Slate
Other
Do you want exposed beams?
Yes
No
How tall do you want your ceilings?
Do you want a garage?
Yes
No
What type of garage?
Single Car Attached
Double Car Attached
Triple Car Attached
Other Attached
Single Car Detached
Double Car Detached
Triple Car Detached
Other Detached
Any guest rooms over the garage?
No
Yes, 1 Room
Yes, 2 Rooms
Yes 3, Rooms
Yes, other
Are you interested in attending
a log home building school?
Yes
No
Are you interested in attending
a log home building seminar?
Yes
No
Are you interested in attending a conventional home building
school?
Yes
No
Are you interested in attending a conventional home building
seminar?
Yes
No
Do you subscribe to any log
home building magazines?
Yes
No
Do you subscribe to any conventional home building magazines?
Yes
No
Do you need more information?
Please check all you wish to receive:
Information on building a home from a kit.
Information on designing and building a custom home.
Information on budget planning.
Please make additional
comments at right.