Client Questionnaire
Please complete the questionnaire below to help us better serve you!
Name
First Name
Last Name
Email
example@example.com
Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Birthday
-
Month
-
Day
Year
Date
Where'd you hear about us?
(Facebook, Instagram, YouTube, etc)
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Are you thinking of buying or selling? (specify)
Where'd you hear about us?
(Facebook, Instagram, YouTube, etc.)
Tell Us About Your New Home
Tell us a little about you. Details are great!
What cities are you interested in?
Marco Island
Naples
Bonita Springs
Estero
Fort Myers
Sanibel
Captiva
Cape Coral
Other
How many bedrooms & bathrooms?
Min # of bed & baths
Please list any other criteria you are looking for: (i.e. gated community, fenced yard, garage, resort amenities, golf, pickleball, acreage, etc.)
How will you purchase your new home?
Cash
Pre-approved Mortgage
Please connect me with a mortgage lender
Ideal Price Range or Ideal Monthly Payment
I agree to be contacted by The Burnham Group via call, email, and text for real estate services. To opt out, you can reply “stop” at any time or reply “help” for assistance. You can also click the unsubscribe link in the emails. Message and data rates may apply. Message frequency may vary. Privacy policy.
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