Design Bath :: Residential Design & Build, Kitchen & Bath Design, Remodeling & Renovations, Campbell, CA 95011

BATH DESIGN & PLANNING QUESTIONNAIRE

The questions you are about to answer will greatly assist you and your designer in creating the bathroom of your dreams!
(Sit down with a copy of coffee, enjoy yourself and create! This must be done in one sitting and them submitted.)

FAMILY & LIFESTYLE
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 bedroom level? Yes	No
	Powder Room
	Hall Bathroom
	Located on what level of home?
2. How many primary users of this bathroom will there be?
	1 2 3 4 More
3. Who are the primary users of this bathroom?
	Adults Children Guests
4. Is this bathroom for a:
	House Condo Other (please specify):
5. Would you like the shower area and tub?
	Separate	Combined
6. Should a linen closet be considered in your 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 hair dryers and curling irons?
	Yes	No
9. Do you want his and her facilities?
	Yes	No

DESIGN & STYLE
1. What are your color preferences for your new bath?
2. Are there other colors you would not want in your new bath?
3. Have you created a scrapbook of notes, photos and ideas that you would like to use in your new bath?
	Yes	No
4. If a design could be greatly improved, would you be willing to make structural changes? (moving windows, doors and walls)
	Yes	No
5. What do you like about your current bath?

6. What do you dislike about your current bath?


TIME & BUDGET
1. When would you like to begin your project?
2. When would you like to your project completed?
3. Do you have a budget for this project?
	Yes $	No

GENERAL INFORMATION
1. Name: (required)
2. Address:
3. City/State/Zip:
4. Home Phone:
5. Work Phone:
6. Email: (required)
7. Fax:
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:
167 Fax:
18. Interior Designer Name (if applicable):
19. Contact Name:
20. Phone:
21. Fax:

Residential Design & Build, PO Box 111778, Campbell, CA 95011 • Phone: 408.436.5448 • Email:info@clearoakdesigns.com