Only Deals New Client Questionnaire

1
Full Name* This field is required.
First Name
Last Name
2
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Please Select
Please Select
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
The Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo
Cook Islands
Costa Rica
Cote d'Ivoire
Croatia
Cuba
Curaçao
Cyprus
Czech Republic
Democratic Republic of the Congo
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Polynesia
Gabon
The Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
North Korea
South Korea
Kosovo
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Nagorno-Karabakh
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
Turkish Republic of Northern Cyprus
Northern Mariana
Norway
Oman
Pakistan
Palau
Palestine
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn Islands
Poland
Portugal
Puerto Rico
Qatar
Republic of the Congo
Romania
Russia
Rwanda
Saint Barthelemy
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
Somaliland
South Africa
South Ossetia
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard
eSwatini
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Transnistria Pridnestrovie
Trinidad and Tobago
Tristan da Cunha
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
British Virgin Islands
Isle of Man
US Virgin Islands
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Other
Country
3
Email Address* This field is required.
example@example.com
4
Telephone Number* This field is required.
Please enter a valid phone number.
5
Details of the New or Used Vehicle Desired (Please include make, model, color, and trim if known)
6
Max down payment amount
7
Max Monthly Budget
8
Must-have features
AWD
Third Row
Panoramic Roof
Remote Start
Premium Sound
Leather
Safety Technology
Fuel Efficiency
Heated Seats
Heated Steering Wheel
None apply
9
How would you like to buy your new vehicle?
Lease
Finance
Cash
Not Sure
10
Are you comfortable choosing the most cost-effective or entry-level trim to maximize savings?
Yes, prioritize lowest cost
Open to options
Prefer higher trims
11
When do you hope to take delivery?
As soon as possible
30-90 Days
6 Months or More
Just exploring options
12
Are you prepared to move forward if the right vehicle and terms are located?
Ready
Depends on options
Just gathering information
13
Have you researched typical payments for your requested vehicle type?
Yes
No, I would like guidance
14
Delivery preference
Home Delivery
Work Delivery
Dealership Pickup
Undecided
15
Are you Active Duty Military or retired Military?
Yes
No
16
Are you a first responder (Police, Fire, EMS)?
Yes
No
17
How did you hear about Only Deals?
Friend or Family
Past Client
Instagram
TikTok
Dealer Referral
Google
Other
18
Are you trading in a vehicle?
Yes
No
19
Trade-In Vehicle VIN
20
Trade-In Mileage
21
How did you acquire your current trade-in?
Leased
Financed
Owned
22
Amount Owed on Trade-In Vehicle
23
Mechanical / Performance Issues
Engine problems
Transmission issues
Braking problems
Electrical issues
Overheating
Poor fuel efficiency
None apply (select only if no issues)
24
Accident / Structural History
Previous accidents
Frame damage
Flood damage
Airbag deployment
Structural repairs
None apply (select only if no issues)
25
Exterior Condition
Scratches
Dents
Rust
Paint damage
Broken lights
Cracked windows
None apply (select only if no issues)
26
Interior Condition
Torn upholstery
Stains
Broken dashboard
Malfunctioning electronics
Odor issues
None apply (select only if no issues)
27
Tires & Maintenance
Worn tires
Uneven wear
Recent maintenance
Missing maintenance records
None apply (select only if no issues)
28
Keys & Accessories
Missing keys
Broken key fob
Missing accessories
None apply (select only if no issues)
29
Are there any dashboard warning lights currently on in your vehicle?
Yes
No
30
If yes, please specify which dashboard lights are on.
31
Trade Accuracy Certification
I agree to the honesty confirmation. I confirm that I have disclosed all known issues with the trade-in vehicle. I understand that undisclosed issues may affect the final appraisal.
32
How did you hear about us?
Please Select
Please Select
Instagram
Facebook
Google Search
Referral
Website
Repeat Customer
Other
33
If referred by customer, who referred you?
34
If referred by a team member of Only Deals, who referred you?
Please Select
Please Select
Dan
TJ
Tara
Sarah
Cristian
Herc
35
utm_source
36
utm_medium
37
utm_campaign
38
lead_id
39
utm_source: unknown
Should be Empty: