The Pre-Project Phase of building construction manages the communication between client organization, user groups and designers. Disconnects and miscommunication in this phase may result in a product that does not fulfill the expectations of the parties involved. It is expected that the adoption of more formal methods can streamline the communication and improve its precision. Based on a literature review, a triage of methods is introduced: (a) a method for initial criteria management, supported by the EcoProP software (developed by VTT in Finland); (b) a method to rationalize and manage criteria in relation to the design organizational instruments, supported by the QFD ProP software (developed by VTT in Finland); (c) a method that supports multi criteria decision making, supported by a range of commercially available software tools. In order to assess the effectiveness of these tools they have been applied in the specific case of Pre-Project Phase of a healthcare facility. A Case Study on a concrete discrete decision problem is dealt with. It concerns the choice between a central medication room and patient room dispenser closets (also known as Nurservers). The Nurservers Case Study is used to evaluate the applicability of the proposed criteria gathering, ranking and decision methods in the Pre-Project Phases daily practices. The claim that these rational methods increase efficiency, precision and satisfaction of the parties involved in this phase is investigated. The thesis evaluates how the introduction of rational methods benefits the communication between stakeholders.