1. Are any surfaces in your bath or shower
stained or difficult to clean? 
Y N

2. Rate the condition of your grout or caulk
seals:

  • Perfect
  • Some damage
  • Poor condition

3. Are you considering an update to your
bathroom in the next 5 years? (circle one)
Y N

4. When would you like to discuss your
remodel with USA Bath? (circle one)

  • Now
  • 1 Month
  • 6 months
  • Later

Name:

Address:

Phone Number:

*Exclusively available via Sam’s Club.
Services Provided by USA Bath California
Remodeling Inc, CSLB #984796
2500 Del Monte St, Ste 100
West Sacramento, CA 95691