Home Seeker Questionnaire
Name
First Name
Last Name
Back
Next
What is your primary email address?
example@example.com
Back
Next
Phone Number
Please enter a valid phone number.
Back
Next
Preferred contact method
Phone
Email
Both
Back
Next
What is your preferred way to pay for your home?
I will be paying in cash and do not need an interest loan/financing.
I will need financing.
I am getting my own loan.
Back
Next
What is the maximum monthly price range that you can afford?
Back
Next
What is the maximum amount that you can put down?
1,500
2,000
2,500
3,000
3,500
4,000
Back
Next
Preferred Bed and Bath
2 beds, 1 bath
2 beds, 2 bath
3 beds, 2 bath
Back
Next
Which city would you like to live in/near?
Back
Next
Community Request
ALL ages community
Age restricted community
Back
Next
Have you had any evictions?
YES
NO
Back
Next
If you answered "YES" to having a previous eviction, please explain. (Type N/A if you answered "NO")
Back
Next
Do you have any criminal history?
YES
NO
Back
Next
If you answered "YES" to having criminal history, please explain. (Type N/A if you answered "NO")
Back
Next
Monthly Income
Back
Next
Approximate Credit Score
400-499
500-550
551-600
601-650
651+
Back
Next
Current Employer
Back
Next
Length of Employment (please specify number of years/months)
Back
Next
Do you currently own a mobile home, residential home or condo?
No, I am currently renting.
Yes, I currently own a mobile home.
Yes, I currently own a residential home.
Yes, I currently own a condo.
Back
Next
How soon would you like to move?
1-2 weeks
2-4 weeks
30+ days
Back
Next
Do you have a social security number (SSN) or IT number?
Social Security Number
IT Number
Submit
Should be Empty: