Registration of Interest

How did you hear about Lifetime Homes?

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Personal Details

Your Name

E-Mail Address

Phone Number

Street

Suburb/City

State

Postcode

Age

Budget

Home Requirements

Style of Home
Unit villa (eg 2-5 units on the one block)House and Land package: (land, house and fully landscaped)House only: Build a house / unit on your landDemolish existing home and build a new homePart of a special purpose apartment complex

Number of bedrooms

Number of bathrooms

Size Block

When are you wanting to buy or build?

Specialised storage requirments
gardening equipment (lawn mower etc)collections (eg wine, craft)large book casesspecific furniture (eg antique sideboard)display cabinetsfiling cabinetstoolspianospace to keep campervan / boat / trailerother

Specific hobbies
woodworkvegie gardeninglibraryspare room (eg craft, art studio, music, gym, office)other

Guest room fold down bed
yesno

Pet Requirements
area to wash/groom dogchicken coopother

Access Requirements

Does anyone in your home have any access requirements?
yesno

What Lifetime Homes features would you like to incorporate?

Spacious doorways, hallways and garages
yesnomaybe

Level access with no steps
yesnomaybe

Spacious kitchen
yesnomaybe

Specific appliances
yesnomaybe

Kitchen benches that can be lowered for wheelchair access
yesnomaybe

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

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

Lever door hardware
yesnomaybe

Larger lightswitches
yesnomaybe

Do you have an occupational therapist?
yesno

Any other specific requirements or comments?

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