2. Housing Information:
Please choose an option.
$100,000 to $150,000
$150,000 to $250,000
$250,000 to $350,000
$350,000 to $500,000
$500,000 to $1,000,000
Over $1,000,000
Price range?
Please choose an option.
Single family
Town house
Condominium
Other
Type of home?
Please choose an option.
1,000 to 2,000 sq. ft.
2,000 to 3,000 sq. ft.
3,000 to 3,500 sq. ft.
over 3,500 sq. ft.
Size of home?
Please choose an option.
Two bedrooms
Three bedrooms
Four bedrooms
Five bedrooms
Bedrooms?
Please choose an option.
Two bathrooms
Three bathrooms
Four bathrooms
Bathrooms?
Please choose an option.
Elementary
Middle school
High school
Desired school nearby?
Please choose an option.
Under 5 years
Under 10 years
Older than 10 years
Age of house?
Please choose an option.
Immediately
Within 2 months
Within 6 months
Within 1 year
Undecided
When to purchase?
Please choose an option.
Yes
No
Need to sell your present home?
Please choose an option.
Yes
No
Prequalified by a lender?
Please choose an option.
Yes
No
More information on financing?
3. Contact Information:
Your name*
Your e-mail address*
Your phone number*
Please choose an option.
Please call daytime
Please call eveningtime
When should I contact you?
What would be the best time(s) to reach you?
Any extra comments, or specifics you
would like to add: