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Client Survey

Family Information
Adult Names/Ages
Occupations
Child Names/Ages
Child Names/Ages
Physical Disabilities
Other Special Needs
Pets
Architectural Details
House Style
Number of Bedrooms
Number of Bathrooms
Square Footage
Deck or Patio
Extra Storage
Leisure Activities
Hobbies
Entertainment
Equipment
Special Needs
Disabilities/illness
Energy Saving/ LEED
Concepts and Ideas
Site Development
Water Savings
Energy Efficiency
Materials Selection
Indoor Environmental
Quality

Zach & Sammie


Oil Field worker & Stay at home Mom
Livy 3 yrs old
Zach Jr 1 yr old
None
Butch the bulldog

3
1.5
1070
Deck
Always!
Hiking, swimming, beach, BBQ,

None
ALL

Other Ideas

Project Lead The Way, Inc.


Copyright 2010
CEA Unit 2 Lesson 2.3 Client Survey Page 1

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