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General Information

About how long will you live in the home you are renovating/building?  Please Select an Answer 1 to 5 Years 6 to 10 Years 11 to 20 Years 20+ Years
When was the house built? 
How old is the current bathroom? 
When would you like to begin your project? 
When would you like the project completed? 
If you are building, is the bathroom included in the contract?  Select No Yes
Do you have a budget for this project?  Select No Yes
Budget Amount:  $
Who will share in the decision making process? 

Is this project your master bathroom, the children's bathroom or a guest bathroom?  Select This will be our master bathroom This will be a guest bathroom This bathroom is for our children

How many bathrooms are in the home? 
Is handicapped accessibility required?  Select No Yes
What is the primary time of day that the bathroom is used? 
On average, how long does each user stay in the bathroom? 
How many family members will use the bathroom at one time? 

Will privacy zoning be considered to allow several users to occupy the space at one time?  Select This may be of value for the new design We don't need privacy zoning We need to discuss the concept with the designer

Do you prefer separate shower and bathing areas?  Select No Yes

Would you like to consider either a tub or shower that will accommodate more than one person?  Select No Yes

Do you prefer the water closet and/or bidet be separated from the other fixtures, and be placed in its own compartments?  Select No Yes Undecided - let's talk about it

What activities will take place in the bathroom?

What appliances do you plan on using in the bathroom?
 

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Storage Requirements Checklist
 

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Household & Lifestyle 
Number and approximate ages of household members?
Adults:   Ages: 
Teens:    Ages: 
Young Children:    Ages: 
Infants: 
Are you planning to enlarge your family while living in this home?  Select No Yes
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Design and Style
What colors are you considering for your new bathroom?

What type of style would you like your new bathroom to reflect?
Please select a choice of style Old World Charm Contemporary Casual Living Country Traditional Professional Other - Let's discuss what I have in mind

Have you created a sketch or collected pictures and ideas that you would like to use in your new bathroom?  Select No Yes

If a design could be greatly improved, would you be willing to make structural changes? (relocate doors, windows, etc.)  Select I would not want to make structural changes I would consider making structural changes

What do you like (or dislike) about your current bathroom?

COMMENTS:                                     
(Write as much as you like. If you already have a builder and/or architect, let us know).           
 

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