American Woodmark

1	What type of bathroom are you planning? Master bathroom Powder room Kid's bathroom Other
2	Where is the bathroom located? First floor Second floor Other
3	Do you intend to add space to the existing bathroom? Yes No If yes, where is the space coming from (closet, hall etc.)?
4	Are there any obstacles in the room such as chimneys, radiators etc.? Yes No If yes, please describe
5	Will you need a professional installer? Yes No Or, is this a Do-It-Yourself Project? Yes No
6	What is the budget for the project?
7	When would you like to have the project completed?
8	Will the bathroom be used by persons with physical limitations? Yes No If yes, please list special needs:
9	Do you currently have enough storage? Yes No
10	Do you currently have enough counter space? Yes No
11	What kinds of fixtures and fittings do you want?
	Tub/shower combination Separate tub and shower Extra large shower with a seat Whirlpool tub One piece toilet Two piece toilet	Bidet Single bowl basin Double bowl basins Brass fittings Chrome fittings Pressure balanced or other safety features
12	What kinds of storage do you want?
	Standard height vanity (31 1/8" high) Hampers Linen storage Extended height vanity (34 1/2" high)	Medicine cabinets Open shelves Valet cabinet for over the toilet Other
13	What style would you like your new bathroom to have? Victorian Contemporary Country Traditional Other

© 2003 American Woodmark Corp.