Your Name
Your Email Address
Which bathroom does this form represent? *
How many people will share this bathroom?* 1234+
What are the heights of each adult sharing the bathroom?*
Are there any particular things about your past bathrooms that you want to avoid in your new bathroom?
Are there any specific requests you have for your new bathroom (ie marble countertop, clean modern lines, timber floors, materials you don't like, etc)?
What is your vanity preference? One vanity & one sinkOne vanity & two sinksTwo separate vanities with one sink each
Do you prefer the toilet to be hidden from view, either in a water closet or by a portioned wall? YesNo
Would you like to store bath linen in the bathroom? YesNo
Do you want any of the following? Seated makeup areaSeparate vanity for seated makeup areaNatural light for this makeup areaDrawers and/or cabinets beneath the vanityCabinets above the vanity counterTrash can built into the vanityDecorative freestanding trash canWall mounted magnifying mirrorTelevisionFull height mirror
What is your sink preference? UndermountSelf-rimmingVesselPedestal
What type of faucet do you want? Wall mountedDeck mountedOne handleTwo Handles
What type of tub would you like? Free standingBuilt inSoakingJetted
What type of shower would you like? Wall mountedCeiling mountedHandshowerBody jets
Do you want any of the following? Fogless mirror in showerBench in showerHandheld sprayer for tubHeated towel railGrab barsBidetCeiling speakers
What items do you usually place on your vanity counter?
Do you wish to store any tall or bulky items in the bathroom (ie hairspray, body lotion, etc.)? Please list.
Will you be storing medical items in this bathroom? YesNo
Are there any plumbing/electrical issues we should be aware of?
Do you have any specific requests with regard to your lighting?
Do you have a budget in mind?
What are your timing requirements?
Are there any other notes you would like to add?
