How many are in your household? 1 2 3 4 More

Are you right handed or left handed? Right Handed Left Handed

How many bathrooms are in your home?

Which bathroom are you planning to remodel?

Is the shower head at a comfortable height for all users? Yes No

Check off the fixtures that are important to have in your new shower.

Do you want a new tub? Yes No

If yes to the above do you want a whirlpool?

What finish do you want for your fixtures? Chrome Brushed Nickel Oil Rubbed Bronze Antique Copper Polished Brass

What type of shower enclosure do you like? Clear Glass Frosted Glass Obscure Glass Etched Glass

Check off the fixtures that are important to have in your new tub

Is the sink at a comfortable height to wash your face? (34" to 36" high)? Yes No

What type of sink do you want?

Did you want to add an additional shower or whirlpool to the bathroom? Yes No

Is there enough storage space for your grooming equipment?

Do cabinets include a well-organized storage system?

Is there a convenient spot for soaps and shampoos in the shower and/or tub area?

Are there enough towel bars?

Is there space for towel storage in or near the bathroom?

Do you store cleaning supplies in your bathroom?

Is there an efficient ventilation system in the room?

Is there adequate lighting in the right place(s) for your bathroom activities (shaving, make-up application, reading)?

Are all the electrical outlets protected with Ground Fault Circuit Interrupters to prevent electrical shock?

Do you have enough electrical outlets?

Are the plumbing pipes free from leaks?

Have walls or floors been damaged due to leaks?

Is the existing bathroom big enough?

Can two people use the bathroom comfortably and conveniently at the same time?

Have you considered changing the location of doors and windows?

Does the bathroom relate to adjacent rooms the way you would like?

What is your color preference? Red Blue Yellow Green Black White Natural Tones

How old is your home? 5 or less Years 10 - May 10 - 20+

Is this the original bathroom? Yes No

Do you want your new bathroom to have a particular look? Modern Casual Contemporary Formal Lodge/Cabin Rustic High Tech Industrial Whimsical Cottage Cheerful Grand Charming Elegant Sleek Funky Victorian Southwest Art Deco Retro Asian European International Old World Country Colonial African Other

What type of countertop do you want? Marble Cultured Marble Granite Quartz Onyx

What Price Range are you most comfortable with? $20000 - $30000 $35000 - $45000 $50000 - $60000 $65000 - $75000 $80000 Up

* Name

* Address Line 1

Address Line 2

* City

* State

* Zip Code

* Phone Number

* Email

Comments or Questions