Client Questionnaire Form

Name*

First NameLast Name

Phone Number*

Please enter a valid phone number.

Email*

example@example.com

Current Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Date

Desired neighborhood Zip Code*

What type of property are you looking for?*

Single Family HomeTownhomeCondominiumMulti-Family Home

What is your current property purchase situation?*

Buying in 1-3 monthsBuying in 4-6 monthsBuying in 7+ monthsResearching Options

How will the property be used?*

Primary HomeRental PropertySecondary Home

What is the price you are looking for?*

What is your estimated down payment, if applicable?

What is your employment status?*

Is your employment in any of these fields?

Educators/Support StaffFirst RespondersMilitaryI own my own business

What is your Gross (before taxes) Monthly Income?*

What are your Min Monthly Liabilities (Min monthly payments not counting rent)*

$0 - $500$501 - $1000$1001 - $2500Over $2500

Estimate your credit score

Additional Notes

Real Estate Client Questionnaire Form