First Name * Last Name * E-mail Address: * Mailing Street Address or P.O Box * City * State * Zip Code * Are you currently working with an agent? * Approximately, how many square feet are you looking for in a home? * What price range of home are you considering? * Have you been approved for a mortgage? Your home address is Home Street Address City State Zip Code Home Phone Mobile Phone Business Phone ------------------------------------------------- To help you achieve your goals, we need to ask you some questions that will help us to understand how we can serve you best. First off, what is the primary reason you are interested in finding a new home? How long have you been looking for a home? Do you own a home now or are you renting? If leasing, when is your lease up? Do you need to sell a home before you buy? If so, is that home currently listed for sale? If not currently on the market, have you chosen an agent to represent you? If you have a home already on the market, how long has it been on the market? If you are currently working with an agent to help you find a home, have you signed a formal Buyer Agency agreement with them? Do you understand how an agent who finds you a home gets paid? Do you understand what Buyer Agency, Seller Agency and Dual Agency mean? Do you understand how the real estate multiple listing service works? If we can find you the right property, will you be prepared to make a decision at that time? If we have shown you homes that are close, but not quite the one you are looking for, and you walk into an Open House being held by another agent and would like to purchase it, what would you do? If we agree to represent you with an exclusive buyer specialist and put our time, efforts and money into helping you find a home, are you willing to agree to work exclusively with us to find a home? Have you seen any homes or properties you liked? If yes, what prevented you from buying? How soon would you like to move? What will you do if you do not find a home in that time frame? What is the highest price you would ever consider spending if you found that absolutely perfect house you just could not do without. On a scale of 1 to 10, with 10 meaning you have to buy now, where would you rate your buying motivation at this time? Is there anyone else that will be helping you make the decision about buying? If so, who would that be? What days and times are best for you to look at homes? Do you have special school requirements? If so, what are they? Do you have any pets? Type of pets and any special requirements? Minimum number of bedrooms you HAVE to have. Minimum number of bathrooms you HAVE to have. What is the MINIMUM size of property you would consider? What is the MAXIMUM size of property you would consider Which type of home would you prefer? Please rank from 1-6 with 1 being your last choice and 6 being your first choice, your preference for style of home. If a style you would not consider, leave it at 0. 1 Story 0 1 2 3 4 5 6 1.5 Story 0 1 2 3 4 5 6 2 Story 0 1 2 3 4 5 6 Tri-level 0 1 2 3 4 5 6 Split Entry 0 1 2 3 4 5 6 Multi-level 0 1 2 3 4 5 6 Which types of sewer systems would you consider? Which would you prefer? Which types of water systems would you consider? Which would you prefer? Which types of main heat source would you consider? Which would you prefer? Please rate the importance of each of the following home features. 0 meaning you do not want that feature, 1 being least important and 5 being very important. Family Room 0 1 2 3 4 5 Bonus Room 0 1 2 3 4 5 Media Room 0 1 2 3 4 5 Formal Dining Room 0 1 2 3 4 5 Den 0 1 2 3 4 5 Deck 0 1 2 3 4 5 Patio 0 1 2 3 4 5 Storage Shed 0 1 2 3 4 5 Small Shop (under 200 square feet) 0 1 2 3 4 5 Average Size Shop (200-400 square feet) 0 1 2 3 4 5 Large Shop 0 1 2 3 4 5 Fenced Back Yard 0 1 2 3 4 5 Fenced and Cross Fenced Acreage 0 1 2 3 4 5 Large Yard 0 1 2 3 4 5 Low Maintenance Yard 0 1 2 3 4 5 Barn 0 1 2 3 4 5 Stables 0 1 2 3 4 5 Indoor Arena 0 1 2 3 4 5 Outdoor Arena 0 1 2 3 4 5 Additional Outbuildings 0 1 2 3 4 5 Athletic Court 0 1 2 3 4 5 Boat House 0 1 2 3 4 5 Dock 0 1 2 3 4 5 Gazebo 0 1 2 3 4 5 Hot Tub 0 1 2 3 4 5 Dog Run 0 1 2 3 4 5 Green House 0 1 2 3 4 5 RV Parking 0 1 2 3 4 5 Sprinkler System 0 1 2 3 4 5 In Ground Pool 0 1 2 3 4 5 Above Ground Pool 0 1 2 3 4 5 Daylight Basement 0 1 2 3 4 5 Unfinished Basement 0 1 2 3 4 5 Roughed-in Basement 0 1 2 3 4 5 Fully Finished Basement 0 1 2 3 4 5 Additional Dwelling Unit 0 1 2 3 4 5 Bath Off Master 0 1 2 3 4 5 Down Stairs Master 0 1 2 3 4 5 Built-in Vacuum 0 1 2 3 4 5 Ceiling Fan(s) 0 1 2 3 4 5 Wheelchair Access 0 1 2 3 4 5 Double Pane Windows 0 1 2 3 4 5 Wood Windows 0 1 2 3 4 5 Vinyl Windows 0 1 2 3 4 5 Storm Windows 0 1 2 3 4 5 Fireplace 0 1 2 3 4 5 Fireplace in Master Bath 0 1 2 3 4 5 Air Conditioning 0 1 2 3 4 5 Gas Cooking 0 1 2 3 4 5 Smart Home Wiring 0 1 2 3 4 5 Computer Network Cabling 0 1 2 3 4 5 Jetted Tub(s) 0 1 2 3 4 5 Intercom System 0 1 2 3 4 5 Whole House Music System 0 1 2 3 4 5 Pantry 0 1 2 3 4 5 Sauna 0 1 2 3 4 5 Security System 0 1 2 3 4 5 Skylight(s) 0 1 2 3 4 5 Solarium/Atrium 0 1 2 3 4 5 Vaulted Ceilings 0 1 2 3 4 5 Walk-in Closet(s) 0 1 2 3 4 5 Wet Bar 0 1 2 3 4 5 Wired for Generator (Gentran, etc.) 0 1 2 3 4 5 2nd Kitchen 0 1 2 3 4 5 Open Feeling 0 1 2 3 4 5 Guest or Relative Apartment Area 0 1 2 3 4 5 Gas Hookup for BBQ 0 1 2 3 4 5 Built-in Dishwasher 0 1 2 3 4 5 2nd Built-in Dishwasher 0 1 2 3 4 5 Single Wall Oven 0 1 2 3 4 5 Double Wall Ovens 0 1 2 3 4 5 Wall Oven/Microwave Combo Unit 0 1 2 3 4 5 Gas Range Top/Gas Oven 0 1 2 3 4 5 Gas Range Top/Electric Oven 0 1 2 3 4 5 Electric Range Top/Gas Oven 0 1 2 3 4 5 Electric Range Top/Electric Oven 0 1 2 3 4 5 Built-in Trash Compactor 0 1 2 3 4 5 Built-in Refrigerator 0 1 2 3 4 5 Built-in Freezer 0 1 2 3 4 5 Free Standing Refrigerator 0 1 2 3 4 5 Free Standing Freezer 0 1 2 3 4 5 Garbage Disposal 0 1 2 3 4 5 Hot Water Dispenser 0 1 2 3 4 5 Built-in Water Purifier 0 1 2 3 4 5 Built-in Wine Cooler 0 1 2 3 4 5 Washer 0 1 2 3 4 5 Dryer 0 1 2 3 4 5 Privacy 0 1 2 3 4 5 Close to Schools 0 1 2 3 4 5 Close to Shopping 0 1 2 3 4 5 Easy Freeway Access 0 1 2 3 4 5 Please tell us what locations you would consider living in Please describe other locations Will there be any children living with you? If so, what are their ages? Please explain or describe anything else that you feel we may need to know in order to best assist you. What are the best days and times to reach you? What is your preferred method of contact? Other means of contacting you? * Required
