1. This bathroom will be:

Master Suite Bathroom
Located in Master Suite?    Yes    No 

Children's Bathroom
Located in Child's room?   Yes    No 

Guest Bathroom
Located in Guest Bedroom?    Yes    No 

Hall Bathroom
Located on main bedroom level of home?   
Yes    No 

Powder Room

2. How many primary users of this bathroom will there be:

3. Who are the primary users of this bathroom? 

Adults Children  Guest 

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 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 her facilities?    Yes    No

GENERAL

1. Name:  

2. Address:

3. City:   State: Zip:

4. Home Phone:

5. Work Phone:

6. Fax:

7. Email Address: *required

8. New Home Address:

9. City: State:  Zip:

10. Builder Name (if applicable):

11. Contact Name:

12. Phone:

13. Fax:

14. Architect Name (if applicable):

15. Contact Name:

16. Phone:

17. Fax:

18. Interior Designer Name (if applicable):

19. Contact Name:

20. Phone:

21. Fax: