Buyer Need Assessment
Full Name
*
First Name
Last Name
Preferred Contact Number
*
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Area Code
Phone Number
Home Phone #
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Area Code
Phone Number
Work Phone #
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Area Code
Phone Number
Mobile Phone #
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Area Code
Phone Number
Fax Phone #
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Area Code
Phone Number
E-mail
*
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Family Size
Pets
Currently:
Rent
Own
Must sell to purchase
Desired Possession Date
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Month
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Day
Year
Date Picker Icon
Mortgage:
Pre-qualified
Pre-approved
Lender
Lender Phone Number
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Area Code
Phone Number
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Ideal Price
Ideal Monthly Payment
Ideal Location
# of Bedrooms
Minimum # of Bedrooms
# of Bathrooms
Minimum # of Bedrooms
Option 1
Option 2
Option 3
Lot size
Garage
# of Vehicles
Parking Space
Boat
Camper
Bus/Truck
Age of Home
Style of Home
Preference
Eat-in Kitchen
Separate Dining Room
Family Room
Fireplace
Workshop
Home Office
Finished Basement
Fenced Yard
Deck / Patio
Pool
Waterfront
Home Business
Special Requirements
Day Care Facilities
Elder Care
Cultural Activities
School Requirements
Sports / Recreation
Public Transportation
The Idea Home
How long have you been looking for a home?
Did you see anything you liked?
Are some features "deal breakers" that you won't compromise on?
Is there anything else I should know about your requirements?
What do you like about your current home?
What do you not like about your current home?
Submit
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