Bathroom Planning Questionnaire




Lifestyle and Room Use

1. Number of family members:
2. Number and ages of family members:
 Under 5   Pre teen  Teenagers   Adults
3. What is the main use of the room?
 Family Bath      Guest Bath   Master Bath
 Powder Room    Jack & Jill     Other 
4. Is this bathroom for a: House   Condo   Other 
5. Who is the user of the bathroom? 
6. How tall is the tallest user of the bath?   The Shortest?
7. Do you need additional storage space? 
8. Does any family member have any physical limitations? 
9. Do you currently need additional lighting?  Yes   No
10. Are the current electrical outlets protected with ground fault?  Yes   No
11. Is the bathroom comfortable and warm enough?  Yes   No

Style and Design

1. What are your color preferences? 
2. What type of feeling would you like your new bathroom to have?
 Traditional        Sleek & Contemporary
 Warm & Cozy    Country
 Open & Airy      Mix of Old & New
 Formal             Strictly Functional
 Personal Design Statement
3. What are your wood preferences? 
4. Do you prefer laminates?  Yes   No
5. Do you prefer fiberglass tub/shower units or cast iron? 
6. Do you prefer ceramic tile wall surrounds, multi-piece fiberglass surrounds or solid surface surround material? 

Fixtures

1. Which fixtures will you be replacing or adding?
 Tub/Shower        Shower Only    Bath/Shower Doors
 Whirlpool Tub      Tub Only         Lavatory Double Bowl
 Grab Bars           Commode        Lavatory Single
 Ventilation          Bidet              Other 
2. Would you like the shower area and tub:  Seperate    Combined
3. Do you have a preference for the size of your new bath tub?  Yes   No
4. What type of fixtures do you want in your new bathroom?
 White             Almond/Bisque    Black
 Other Color      Vintage            Other
5. What safety features are you interested in? (ie non-slip floor, grab bars, bench seat in shower, temperature controlled faucet, safety glass on doors)? 
6. Do you want his/hers facilities?  Yes    No
7. Do you have a preference for the height of your countertops?  Standard    Counter Heigth

Storage Systems

1. Should a linen closet be considered in your new bathroom?  Yes    No
2. Outside a linen closet, do you want a lot of storage area for personal items?  Yes    No
3. Do you want an "appliance garage" for commonly used items such as hairdryers and curling irons?  Yes   No
4. What features would help you keep your cabinet storage system well-organized? 
5. What spot would be convenient for soaps and shampoos in your shower and/or tub area? 
6. How many towel bars would you like? 
7. Would you like your towels stored in your bathroom?  yes    No

Mechanical Elements

1. What type of ventilation system are you considering? 
2. What type and placement of lighting fixtures would you require for tasks such as shaving, make-up application, reading, etc? 

Time Management and Budget

1. When would you like to begin your project? 
2. When would you like your project completed? 
3. What budget range have you established for your project? 
4. If this is new construction is the bathroom in your contract as an allowance?  Yes    No
If yes, what is that allowance 
5. Is this a:
 New Construction    Basic Replacement    Recover
 Some remodeling     Heavy Remodeling     Other 
6. Do you have or are you working with a  Contractor    Interior designer    Architect?
If yes, please list their names and numbers 
7. How did you hear about us?
 Past customer    yellow Pages    Web site
 Television          Radio              Referred By 
8. What do you like about your current bathroom? 
9. What do you dislike about your current bathroom? 
10. Before we remodel your bathroom, decide if the following items are necessary items or items you would like?
Lighting Fixtures                Need
Heat Lamp                        Need
Toilets                             Need
Bidet                               Need
Sink(s)                             Need
Vanity                              Need
Flooring                            Need
Heated flooring                  Need
Countertop(s)                   Need
Wall covering                    Need
Shower/bath wall coverings Need
Heated towel rack(s)          Need
Whirlpool tub                     Need
Whirlpool tub with tv          Need
Telephone                        Need
Sitting area/Chair              Need
Exercise area                    Need
Lighted make-up mirror       Need
Full-length mirror                Need
Other:
 Want
 Want
 Want
 Want
 Want
 Want
 Want
 Want
 Want
 Want
 Want
 Want
 Want
 Want
 Want
 Want
 Want
 Want
 Want