Housing Questionaire
Your Name
Your Email
Your Phone Number
Preferred Method of Contact
Phone
Email
Your City
Your State
Your Zip Code
Best Time To Call?
Housing Status:
Homeowner
Renting/Leasing
Relocating
Housing Needs:
New Home
Existing Home
Number of Bedrooms:
1
2
3
More
Number of Bathrooms:
1
2
3
More
Fenced Yard:
Yes
No
Close To Schools:
Yes
No
Close To Work:
Yes
No
School Type:
Public
Private
School Levels - Click All That Apply
Elementary School
Middle School
High School
Are You Working With An Agent?
Yes
No
Agent's Name?
House Payment Budgeted:
Purchase Price Budgeted:
Additional Comments