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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