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Full Name
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First Name
Last Name
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2
Email
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3
How long have you been a real estate agent for?
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1-2 years
3-4 years
5-6 years
7 and up
1-2 years
3-4 years
5-6 years
7 and up
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4
Which broker firm are you associated with?
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Keller Williams
Weichert
Long and Foster
EXP realty
Other
Keller Williams
Weichert
Long and Foster
EXP realty
Other
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5
Do you have a Facebook business page
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6
Are you a part of a team?
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7
Do you have a website or a broker website?
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8
How many homes are you selling a month?
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1-2
3-4
5-6
7 and up
1-2
3-4
5-6
7 and up
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9
How many homes do you want to sell a month?
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1-2
3-4
5-6
7 and up
1-2
3-4
5-6
7 and up
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10
How are you currently getting leads?
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Word of mouth
Referrals
Zillow/trulia/realtor.com
Word of mouth
Referrals
Zillow/trulia/realtor.com
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11
Lastly, What is your best Number to reach you by
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Area Code
Phone Number
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