Request for a Real Estate Agent
Please tell us who you are and how to reach you so we can provide you with the information you're asking for.
* Required
First Name
*
Your answer
Last Name
*
Your answer
Email Address
*
Your answer
Phone Number (with Area Code)
*
Your answer
Street Address
*
Your answer
Town / City
*
Your answer
County
Your answer
State
*
Your answer
Zip Code
Your answer
Do you need to sell your current home to buy your next home?
*
Choose
Yes
No
Have you been pre-approved for a mortgage?
*
Choose
Yes
No
What price range will you be looking in for your next home?
*
Please indicate a price range (i.e., 350,000 to 400,000)
Your answer
What type of home are your looking for?
*
Check all that apply
Single Family Home
Duplex
Townhome
Condominium
Multi-Family Home
Farm
Other:
Required
How many bedrooms are you looking for in your next home?
*
Choose
1 - 2
2 - 3
3 - 4
4 - 5
5 or more
What amenities are you looking for in your next home?
Check all that apply
1 Story Home
2 Story Home
Garage
Basement
Fireplace
Home Office
Pool
Large Yard
Waterfront
Must Have a View
Other:
Comments
Add any additional comments you may have about what you're looking for in a home
Your answer
Submit
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google.
Report Abuse
-
Terms of Service
-
Privacy Policy
Forms
