1. Have you seen anything you like? Yes No

2. How soon do you wish to make your move?

3. Have you been pre-approved for a mortgage? Yes No (if yes, go to 6)

4. If not, have you had a credit report done lately? Yes No

5. If so, any existing credit problems? Yes No

6. Amount of Mortgage Pre-Approval

7. Do you have a down payment? Yes No

8. Maximum downpayment commitment?

9. What style of home do you prefer?

10. What price range are you looking in?

11. What are the towns that you find most desireable? (List in order of preference)

12. How many bedrooms, minimum?

13. How many baths, minimum?

14. What are the 10 most important features you are looking for in your next home?
 

15. What is an acceptable commute? (Check one) Less than 15 minutes
45 minutes
An hour
Other:

16. If we found the right home for you today, would there be anything that would keep you from buying it? Yes No

17. Does anyone else have to approve of your purchase? Yes No

Your name: (required)

Your address:

Your phone number (res., bus., fax):

Your E-Mail: (required)