Registration of Interest

    How did you hear about Lifetime Homes?

    Personal Details

    Your Name

    E-Mail Address

    Phone Number







    Home Requirements

    Style of Home

    Number of bedrooms

    Number of bathrooms

    Size Block

    When are you wanting to buy or build?

    Specialised storage requirments

    Specific hobbies

    Guest room fold down bed

    Pet Requirements

    Access Requirements

    Does anyone in your home have any access requirements?

    What Lifetime Homes features would you like to incorporate?

    Spacious doorways, hallways and garages

    Level access with no steps

    Spacious kitchen

    Specific appliances

    Kitchen benches that can be lowered for wheelchair access

    Specially designed bathrooms (eg plywood in walls to attach grab rails either now or in future)

    Removable shower panel installed (so later can use for wheelchair access)

    Lever door hardware

    Larger lightswitches

    Do you have an occupational therapist?

    Any other specific requirements or comments?

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