Buyer Questionnaire
Office | 573-446-6767
Let's start with some contact information:
Name
*
First Name
Last Name
Email
*
example@example.com
Phone Number
Preferred Contact Method
Call
Text
Email
Preferred Contact Time
Please Select
8:00 AM
9:00 AM
10:00 AM
11:00 AM
12:00 PM
1:00 PM
2:00 PM
3:00 PM
4:00 PM
5:00 PM
6:00 PM
7:00 PM
8:00 PM
9:00 PM
10:00 PM
Current Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Are you Married or in a Relationship?
Please Select
Yes
No
Recently, or currently going through a divorce
Spouse Name
First Name
Last Name
Spouse Email
example@example.com
Spouse Address (If Different from above)
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Spouse Phone Number
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Buyer Questionnaire
Office | 573-446-6767
Tell Me About You:
Other Family Members
Yes
No
Number of Family members including yourself.
Are you working with another buyers agent?
Yes
No
Have you signed an exclusivity contract with them?
Yes
No
Do you currently rent or own?
Rent
Own
Will you be selling your current home?
Yes
No
Currently working with another agent to sell your home?
Yes
No
Reason for Buying
Occupation
Employer
Work Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Anything fun or interesting you think I should know?
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Buyer Questionnaire
Office | 573-446-6767
Tell Me About Your Finances
Indicate Price Range
$-$$$ USD
Paying Method
Cash
Financing
Have you been approved by a lender?
Please Select
Yes
No
Lender Name
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Buyer Questionnaire
Office | 573-446-6767
Tell Me About the Home you Want
Desired Location
Desired School District
Must be located
Close to schools
Close to shopping & restaurants
Near parks or playgrounds
On a quiet street
In a cul-de-sac
Near the airport
Near public transportation
In an area with views
On the waterfront
Out of town
Other
Preferred style of home
Single Occupancy
Multi-Family
Townhome
Two-story
Condo
Ranch Style
Split Level
Duplex
Triplex +
Cottage
Craftsman
Farmhouse
Mediterranean
Contemporary
Fixer Upper
Turn-key
New Construction
Renovated
Other
Want
Need
Doesn't Matter
# of Bedrooms
# of Bathrooms
Lot Size - Acreage
Sq Ft
HVAC
Security System
Open Floorplan
Natural Light
High Ceilings
Energy-Efficient Windows
Hardwood Floors
Eat in Kitchen
Kitchen Amenities
Energy-Efficient Appliances
Formal Dining Room
Fireplace
Great Room
1st Floor Primary Bedroom
Ensuite Bathroom in the Primary Bedroom
Home Office
Garage
Electric Car Charger
Storage
Deck or Patio
Fenced Yard
Front Yard
Back Yard
Garden
Pool
Pet-Friendly Amenities
Specify additional amenities
Additional Information
Would you like to receive instant property updates for new listings that hit the market similar to your criteria?
By Email
By Text
No, thank you.
Submit
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