1. | This bathroom will be: | Yes | No | |
| Master Suite Bathroom | | | |
| Located in Master Suite? | | | |
| Children's Bathroom | | | |
| Located in Child's room? | | | |
| Guest Bathroom | | | |
| Located in Guest Bedroom? | | | |
| Hall Bathroom | | | |
| Located on main bedroom level of home? | | | |
| Powder Room | | | |
| Hall Bathroom | | | |
| Located on what level of the home? | | | |
2. How many primary users of this bathroom will there be? 1 2 3 4 more
3. Who are the primary users of this bathroom? Adults Children Guests
4. Is this bathroom for a: house ___ condo ___ other ______
5. Would you like the shower area and tub separate ____ or combined____?
6. Should a linen closet be considered in your new bathroom? Yes No
7. Outside of a linen closet, do you want a lot of storage area for personal items? Yes No
8. Do you want an “appliance garage” for commonly used items such as hairdryers and curling irons? Yes No
9. Do you want his and hers facilities? Yes No
10. What rooms will the bathroom be accessible from?
Bedroom only ___
Hallway ___
Multiple Bedrooms ____
Others ___________________________________
11. Is this the only bathroom in your home? Yes No
12. What style is your home?
Modern ___
Traditional ___
Country ___
13. What is the age of your home? _____ years
14. What do you like about your current bathroom?
15. What do you dis like about your current bathroom?
16. Before we remodel your bathroom, decide if the following items are necessary items or items you would like:
| | Need | Want | |
Lighting fixtures | | | | |
Heat lamp | | | | |
Toilets | | | | |
Bidet | | | | |
Sink(s) | | | | |
Vanity | | | | |
Flooring | | | | |
Heated flooring | | | | |
Countertop(s) | | | | |
Wall coverings | | | | |
Shower/bath wall coverings | | | | |
Heated towel rack(s) | | | | |
Whirlpool tub | | | | |
Whirlpool tub w/tv | | | | |
Telephone | | | | |
Sitting area/Chair | | | | |
Exercise area | | | | |
Lighted make-up mirror | | | | |
Full-length mirror | | | | |
Other: |
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