Buyer Intake Questionnaire

1

Is This Your First Home Purchase?* This field is required.

YESNO

2

Are You A Military Veteran?* This field is required.

YESNO

3

Which Type Of Home Would You Like To Buy?* This field is required.

Single Family Home

Multi-Family Home

Condo/Townhouse

Other

4

How Soon Would You Like To Buy?* This field is required.

1-3 Months

3-6 Months

6+ Months

Just Researching My Options

5

What Is The Estimated Purchase Price of the Home You Would Like to Buy?* This field is required.

$250,000 or less

$250,000 - $500,000

$500,000 - $1,000,000

$1,000,000 or more

6

What Is Your Estimated Down Payment?* This field is required.Note: A down payment is not always necessary.

Minimum Down

5% - 10%

10% - 20%

20%+

7

How Would You Rate Your Credit?* This field is required.Note: A best guess is good enough.

Excellent (750+)

Above Average (700 - 750)

Good (620 - 700)

Below Average (Below 620)

8

What Is Your Estimated Gross Income (Before Taxes)?* This field is required.

$0 - $50,000

$50,000 - $75,000

$75,000 - $100,000

$100,000+

9

What Is Your Email Address?* This field is required.

example@example.com

10

What Is Your Current Zipcode?* This field is required.

Ex: 32832

11

What Is Your Name?* This field is required.

First Name

Last Name

12

What Is Your Mobile Number?* This field is required.

Please enter a valid phone number.

13

Do you need to sell your current home before you buy your next home?* This field is required.

YESNO

14

Are You Already Working With A Realtor?* This field is required.

YESNO