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About Us
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Process
Our Work
Contact Us
Client Space
Contact Us
(03) 5367 1400
3 Gell StreetBacchus MarshVIC 3340
info@qualityhomedesign.com.au
Would you like to discuss a project?
Please contact us on the form below and one of our friendly team will be in touch.
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Intake Form
First Name
Last Name
Contact Number
Email
Current Address
Address 1
Address 2
Suburb
State
New South Wales
Queensland
Victoria
South Australia
Northern Territory
ACT
Western Australia
Tasmania
Post Code
Project Address
Address 1
Address 2
Suburb
State
New South Wales
Queensland
Victoria
South Australia
Northern Territory
ACT
Western Australia
Tasmania
Post Code
Builder Type
Registered Builder
Owner Builder
Project Description
Description
Background
Construction Budget
Exterior
Construction Type
Brick Veneer
Weatherboard
Other - provide details
Construction Type - Other
Floor Construction
Stumps
Slab
Suspended Slab
Strip Footing
Large Span Joists
Unsure
Ceiling Height
2400mm
2550mm
2700mm
Other - provide details
Ceiling Height - Other
Window Head Height
2100mm - Standard
2400mm
Other - provide details
Window Head Height - Other
Roof Construction
Concrete Tiles
Corrugated Colorbond
Tray Deck
Other - provide details
Roof Construction - Other
Roof Style
Hip
Gable
Dutch Gable
Skillion
Unsure
Eaves
Yes
No
Window Material
Timber
Aluminium
Other - provide details
Window Material - Other
Window Type
Sliding
Awning
Double Hung
Casement
Entry Door
Single
Double
Car Parking
Garage
Carport
Not Required
Undercover Outdoor Area
Yes
No
Additional Comments
Energy Efficiency
Double Glazed Windows
Yes
No
Water Tank
Yes
No
Solar Hot Water System
Yes
No
Insulation Under Slab
Yes
No
If building an extension does the existing home have any insulation?
Yes
No
N/A
Heating
Ducted
Hydronic
Split System
Gas Fireplace
Wood Fireplace
Cooling
Refrigerated
Evaporative
Split System
Ceiling Fans
Additional Comments
Kitchen
Sink
In Kitchen
WIP
Both
Dishwasher
In Kitchen
WIP
Oven
Under Cooktop
On Wall
On Wall x 2
Stove
Gas
Electric
Induction
Pantry
Built in Cupboards
Walk in Pantry
Refrigerator
In Kitchen
In WIP
Additional Comments
Main Bathroom
Vanity
Single Bowl
Double Bowl
Not Required
Shower
Standard
Large
Not Required
Bath
Yes
Not Required
Toilet
In Room
Fully Enclosed
Not Required
Additional Comments
Ensuite
Vanity
Single Bowl
Double Bowl
Not Required
Shower
Standard
Large
Not Required
Bath
Yes
Not Required
Toilet
In Room
Fully Enclosed
Not Required
Additional Comments
Laundry
Direct Access to Outside
Yes
Not Required
Fully Enclosed Room
Yes
Not Required
Drying Cupboard
Yes
Not Required
Laundry Chute - 2 Level Home
Yes
Not Required
Additional Comments
Storage
Robes
Built In Robes
Walk In Robes
Other - provide details
Robes - Other
Linen
Built In Robes
Walk In Robes
Other - provide details
Linen - Other
Study Space
Separate Room
Study Nook
Additional Comments
Complete
Intake Form
First Name
Last Name
Contact Number
Email
Current Address
Address 1
Address 2
Suburb
State
New South Wales
Queensland
Victoria
South Australia
Northern Territory
ACT
Western Australia
Tasmania
Post Code
Project Address
Address 1
Address 2
Suburb
State
New South Wales
Queensland
Victoria
South Australia
Northern Territory
ACT
Western Australia
Tasmania
Post Code
Builder Type
Registered Builder
Owner Builder
Project Description
Description
Background
Construction Budget
Exterior
Construction Type
Brick Veneer
Weatherboard
Other - provide details
Construction Type - Other
Floor Construction
Stumps
Slab
Suspended Slab
Strip Footing
Large Span Joists
Unsure
Ceiling Height
2400mm
2550mm
2700mm
Other - provide details
Ceiling Height - Other
Window Head Height
2100mm - Standard
2400mm
Other - provide details
Window Head Height - Other
Roof Construction
Concrete Tiles
Corrugated Colorbond
Tray Deck
Other - provide details
Roof Construction - Other
Roof Style
Hip
Gable
Dutch Gable
Skillion
Unsure
Eaves
Yes
No
Window Material
Timber
Aluminium
Other - provide details
Window Material - Other
Window Type
Sliding
Awning
Double Hung
Casement
Entry Door
Single
Double
Car Parking
Garage
Carport
Not Required
Undercover Outdoor Area
Yes
No
Additional Comments
Energy Efficiency
Double Glazed Windows
Yes
No
Water Tank
Yes
No
Solar Hot Water System
Yes
No
Insulation Under Slab
Yes
No
If building an extension does the existing home have any insulation?
Yes
No
N/A
Heating
Ducted
Hydronic
Split System
Gas Fireplace
Wood Fireplace
Cooling
Refrigerated
Evaporative
Split System
Ceiling Fans
Additional Comments
Kitchen
Sink
In Kitchen
WIP
Both
Dishwasher
In Kitchen
WIP
Oven
Under Cooktop
On Wall
On Wall x 2
Stove
Gas
Electric
Induction
Pantry
Built in Cupboards
Walk in Pantry
Refrigerator
In Kitchen
In WIP
Additional Comments
Main Bathroom
Vanity
Single Bowl
Double Bowl
Not Required
Shower
Standard
Large
Not Required
Bath
Yes
Not Required
Toilet
In Room
Fully Enclosed
Not Required
Additional Comments
Ensuite
Vanity
Single Bowl
Double Bowl
Not Required
Shower
Standard
Large
Not Required
Bath
Yes
Not Required
Toilet
In Room
Fully Enclosed
Not Required
Additional Comments
Laundry
Direct Access to Outside
Yes
Not Required
Fully Enclosed Room
Yes
Not Required
Drying Cupboard
Yes
Not Required
Laundry Chute - 2 Level Home
Yes
Not Required
Additional Comments
Storage
Robes
Built In Robes
Walk In Robes
Other - provide details
Robes - Other
Linen
Built In Robes
Walk In Robes
Other - provide details
Linen - Other
Study Space
Separate Room
Study Nook
Additional Comments
Complete
