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Client Questionnaire
* Indicates required question
Name
*
Your answer
Email
*
Your answer
Phone number
*
Your answer
Address
Your answer
Are you?
*
Buying
Selling
Both
Are you pre-qualified?
*
Yes
No
I don't know
If yes, how much?
Your answer
Do you have a down payment?
Yes
No
Maybe
Clear selection
Would you like information on our lender's?
Yes
No
Maybe
Clear selection
Where are you looking to buy?
Your answer
When is the Best time to contact you?
Morning
Afternoon
Evening
Anytime
Clear selection
Preferred method of contact
Email
Phone
Text
All
Clear selection
How soon are you looking to buy?
Less than 3 Months
Between 3 and 6 Months
Between 6 to 12 Months
More than 12 Months
Clear selection
Check all that apply
I would like a free buyer's consultation
I would like a free market analysis of my home
I am interested in first time home buyer's program
I am interested in VA loans
Seller/Buyer Feedback
Your answer
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