Heat Check

1

Name

First Name

Last Name

2

How can we help?

Buying

Selling

Selling & Buying

Career Questions

3

Career QuestionsSkip if Buying/Selling

Becoming a Mortgage Broker

Becoming a Real Estate Agent

Becoming an Insurance Agent

Title/Appraisal Careers

4

When are you looking to buy/sell?Skip if N/a

1-3 Months

3-6 Months

6-12 Months

12+ Months

5

What is your preferred monthly payment?Skip if N/a

$1000 - $1500

$1500 - $2000

$2000 - $3000

$3000+

6

Preferred amount you're comfortable spending towards your home?Skip if N/a

$8,500 or less

$8,500-$15,000

$15,000- $25,000

$25,000 +

7

Your estimated credit score?Skip if N/a

Below 620

620 - 700

700 - 800

800 +

8

What is your monthly income?(combine amount if 2 applicants)

$3,000-$6,000

$6,000 - $10,000

$10,000 - $15,000

$15,000+

9

Preferred AreaSkip if N/a

10

Phone Number

11

Email

example@example.com

12

How would you like to be contacted?

Call/Text

Email