Request edit access
JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
New Client Questionnaire - Scottee
Sign in to Google
to save your progress.
Learn more
* Indicates required question
Email
*
Your email
Legal Full Name
*
Your answer
Preferred Name
*
Your answer
Partner Legal Name
Your answer
Address Line 1
*
Your answer
Address Line 2
Your answer
City
*
Your answer
State
*
Your answer
Zip Code
*
Your answer
Type of Address
*
Choose
Home
Work
Other
Preferred Phone Number
*
Your answer
Type of Phone Number
*
Choose
Cell
Work
Landline
Other
Alternate Phone Number
Your answer
Type of Phone Number
Choose
Cell
Work
Landline
Preferred Email Address
*
Your answer
Type of Email Address
*
Choose
Personal
Work
Other
Communication Preference
*
In-Person
By Phone
Text Message
Email
Required
Birthdate
*
MM
/
DD
/
YYYY
Primary reason for moving
Your answer
Is this your first home purchase?
*
Choose
Yes
No
Desired Price Range
*
Your answer
Likely amount of down payment
*
$$ and %
Your answer
Preferred monthly mortgage payment range
*
Mortgage includes principle, interest, taxes & insurance - PITI
Your answer
Type of Funding
*
Choose
Cash
Financing
Would prefer to meet in person first
If Financing: Have you been pre-approved or pre-qualified by a lender?
Choose
Yes
No
Please connect me with a lender
Do you have to sell your existing home to qualify for your next purchase?
*
Choose
Yes
No
Type of Home
*
Single Family Home
Detached Condo (no shared walls)
Attached Condo/Town Home (shared walls OK)
Duplex/Multi-Family
Other:
Required
Home Purpose
*
Choose
Investment Property
Primary Residence
Second Home
Minimum Number of Bedrooms
*
Your answer
Minimum Number of Full Baths
*
Your answer
Minimum Number of Half Baths
Your answer
Garage Needs
Your answer
Preferred Number of Stories
Your answer
Square Footage Range
*
Your answer
Preferred Lot Size
0-.25 acres (up to 10,890 sq ft)
.26 - .5 acres (up to 21,780 sq ft)
.51 - 1 acre (up to 43,560 sq ft)
1 acre +
Clear selection
Year Built Range/Type
Your answer
Condition
*
Nearly Perfect
Needs Cosmetic Work
Needs Work for Updating
A Real Fixer Upper
Required
Other people living at home
Please add ages if children
Your answer
Pets the home must accomodate
Your answer
Hobbies
Your answer
Are you a veteran?
Choose
Yes
No
What do you like about your current home?
Your answer
What do you dislike about your current home?
Your answer
Special features you would like to see?
Your answer
Desired Move-In Date
*
MM
/
DD
/
YYYY
Factors impacting your move-in date
*
Your answer
What areas are you most interested in?
*
If possible, please be specific (city, school district, subdivision, zip code)
Your answer
To what locations do you commute?
Your answer
What driving time is acceptable?
Your answer
Anything else I should know?
Your answer
A copy of your responses will be emailed to the address you provided.
Submit
Page 1 of 1
Clear form
Never submit passwords through Google Forms.
reCAPTCHA
Privacy
Terms
This content is neither created nor endorsed by Google. -
Terms of Service
-
Privacy Policy
Does this form look suspicious?
Report
Forms
Help and feedback
Contact form owner
Help Forms improve
Report