PLEASE NOTE: Completion and submission of this form is required before an in-home consultation in order to make the process the most efficient for you. Thank you!

* All fields below must be completed for proper questionnaire submission.

General Information

Name:

Address:

City:

State:

Zip:

Phone Number:

Best Time To Be Contacted:

Email Address:

Family & Lifestyle

Number of family members:

Adults:


Children:

How long do you plan on living in your home?

Do you have any pets?

Design & Style

What are your color preferences for your new bathroom?

Any colors you don't like for your bathroom?

Are you willing or looking to make structural changes?

What do you dislike about your current bathroom?

What do you like about your current bathroom?

What is your style preference?
FormalContemporaryCountryTraditionalTransitional

Do you have any photos or ideas you would like to use for your new bathroom?
YesNo

If so please upload here or supply at in-home consultation:

What are your lighting needs?

What are your storage needs?

What is your countertop preference?
GraniteQuartzSolid SurfaceLaminate

What safety features are you interested in?

Does anyone have any physical limitations?

Time & Budget

When would you like to begin your project?

When would you like your project complete?

What is the budget in mind for the project?

How did you hear about us?

Some Extra Thoughts

What type of flooring do you prefer?
TileWoodVinyl

Does the bathroom currently have an exhaust fan?
YesNo

Does the bathroom have current GFCI outlets?
YesNo

What year was your house built?

Showroom Appointment

A showroom appointment is preferred within 7-10 days following the in-home consultation. Please note RIG office hours are 8AM-4PM Monday-Thursday and 9AM-1PM Friday.

Please list the top three dates and times a showroom appointment would be most convenient for you:


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