Customer Questionnaire
Thank you for taking the time to complete the questionnaire! This will assist us in answering many of the questions asked by the title company to prepare for closing
What is your full legal name?
*
First Name
Last Name
Property Address that we are working on?
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Realtor Name
*
First Name
Last Name
Your Birthdate
*
-
Month
-
Day
Year
Date
Home Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Work Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
*
Please enter a valid phone number.
Are you on Facebook?
*
Yes
No
If so, what is your username, we would love to send a friend request?
Are you on Instagram?
*
Yes
No
If so, what is your username, we would love to send a friend request?
Can we tag you on Social Media in Celebration of your Closing?
*
Yes
No
Preferred contact method
*
Phone
Email
Who is your mobile carrier?
AT&T
Boost Mobile
MetroPCS
Sprint
T-Mobile
Verizon
Other
Are you legally married?
*
Yes
No
Divorced
Spouse Legal Name
First Name
Last Name
Spouse Email
example@example.com
Spouse Birthdate
-
Month
-
Day
Year
Date
Anniversary Date
-
Month
-
Day
Year
Date
Owner Occupied, Vacation Property or Investment?
*
Owner Occupied
Vacation Property
Investment
Will you be available for closing, out of state, or outside of the US?
*
I will be here
I will be out of state
I will be outside of the US
The Fun Part
What is your favorite restaurant?
*
What is your favorite candy bar?
*
What would you like more?
*
Fried Chicken
Pizza
Chinese Food
Sandwiches
What do you like to do in your spare time?
*
Submit
Should be Empty: