Tell me what you are looking
for in your Dream Home.
1. In what price range are
you looking?
Please choose an option
Up to $50,000
From $50,000 to $100,000
From $100,000 to $200,000
From $200,000 to $300,000
From $300,000 to $400,000
From $400,000 to $500,000
From $500,000 to $1,000,000
$1,000,000 and Above
2. In what area are you
looking?
3. How many Bedrooms?
-0-
1
2
3
4
5
6
7
8
9
10+
4. How many Bathrooms?
-0-
1
2
3
4
5
6
7
8
9
10+
5. What size home are you
looking for?
Please choose an option
From 1,000 to 2,000 sq. feet
From 2,000 to 3,000 sq. feet
From 3,000 to 3,500 sq. feet
3,500 sq. feet or Above
6. In what time frame do
you want to purchase a home?
Please
choose an option
Immediately
1 to 2 Months
2 to 6 Months
6 Months to 1 Year
Just looking.
7. Do you need to sell
the home in which you
currently reside?
8. Would you like more
information about
Financing?
9. Are you pre-qualified
by a Lender?
Tell me where I
can send your information.
1. Name:*
2. E-mail Address:*
3. Telephone Number:
4. What would be the best
time to contact you?
Please choose an option
Between 8am and 12pm
Between 12pm and 5pm
Between 5pm and 9pm
5. Which method would you
like me to contact you?
Please choose an option
Telephone
E-mail
6. Any additional
comments?
