Client Questionnaire

1

Name: * This field is required.

First Name

Last Name

2

Email Address: * This field is required.

example@example.com

3

Cell Number: * This field is required.

4

Is there anyone else joining you in this real estate transaction?* This field is required.

Yes

No

5

Name* This field is required.

First Name

Last Name

6

Email* This field is required.

example@example.com

7

Phone Number* This field is required.

Area Code

Phone Number

8

Are you planning purchase or sell a home?* This field is required.

BUYER

SELLER

10

What areas are you planning to purchase in?* This field is required.

11

What are a few or your top wish list items?* This field is required.

12

What is your property address?* This field is required.

13

Will you need assistance with your next purchase?* This field is required.

Yes

No

14

What is your preferred timeline?

Ready now

3-6 months

1-3 months

6+ months

15

How did you hear about us?* This field is required.

16

Who referred you to me? * This field is required.

First Name

Last Name

17

Is there anything else you'd like to share about your real estate goals?