Real Estate Lead Intake Form

New Client Information

This questionnaire is designed to understand your specific needs, preferences, and goals in the realm of real estate. Your input will guide me in navigating the market to match your needs, ensuring a seamless approach to finding your ideal property or facilitating a successful sale. Let's embark on this journey together, making your real estate dreams a reality!
Full Name*

First NameLast Name
Phone Number*
E-mail*
example@example.com
Best time to contact you:
Preferred method of communication:
(text, call, email)
Do you have any questions or comments you would like to share?
Property Information

(This section is only applicable to clients looking to sell)
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
How long has the property been for sale?
Why are you selling?
Should be Empty:

New Client Information