Bathroom Design QuestionnaireStep 1 of 425%Client Name First Last Client Name (if needed) First Last Best form of Communication Call Text EmailPhoneGeneral Information#Members of your householdHow many Adults?How many Children?How many Seniors?How many Pets?How long have you lived in your home?When was the house built?When would you like to begin the project?When would you like it to be completed?What is the budget range you have established for your kitchen project?Do you plan to change the Layout?YesNoRemove Walls/Combine Spaces?YesNoWhat is most important to you? Please rank in order of importance with 1 being the most important:LayoutFunctionalityAestheticsBudgetComfort with Designer/RemodelerHelp with SelectionsHelp with Project ManagementCommunicationWhat improvement are most important to you when designing your new bathroom: Easier to clean More Storage Upgraded electrical service Better lighting Add a Tub Remove a Tub Enlarge a Shower Add a Sink Seating OtherPlease explain:What do you dislike most about your present bathroom and Why?List some details of the new bathroom that are important to you:bathroom UsageWho will primarily be using this space?Is this person:Left-HandedRight-HandedHow tall is this person?Please choose selection if you desire any of the following:Over the Counter CabinetYesNoToilet Topper CabinetYesNoLinen CabinetYesNoMirrorRangeCooktopGasElectricMedicine CabinetYesNoHand Held ShowerFull SizeCounter DepthBuilt-inOpen to SuggestionsBody SpraysYesNoRain Shower HeadYesNoDTV Shower SystemYesNoSecond sinkYesNoTub/Shower ComboYesNoJetted TubYesNoJetted TubYesNoFree Standing TubYesNoNo tubYesNoShower onlyYesNoShower Curtain RodYesNoSliding/Rolling Glass Shower DoorYesNoGlass Shower EnclosureYesNoBarrier Free Shower FloorYesNoBidetYesNoElongated ToiletYesNoRound Front ToiletYesNoComfort Height ToiletYesNoHamperYesNoGarbageYesNoHeated FloorYesNoOtherYesNoOther? Explain:Specific needs not already mentionedHow do you want your bathroom to make you/others feel:List items that need specialized storage consideration:Decorations and Finishes PreferredCabinet Style Flat Panel Shaker Contemporary Transitional Traditional Eclectic Farmhouse Glass door insertCabinet Finish Stained PaintedWhat type of style would you like your bathroom to have? Traditional Transitional Contemporary Modern Spa-like Clean Open and Airy Country Farmhouse Rustic OtherBathroom Style - Other: Please specifyWhat colors do you like (in general)?What colors do you dislike (in general)?What colors are you considering for your new kitchen?Other design needs or ideas not expressed above?
