Name *

First Name

Last Name

Phone *

(###)

###

####

On a scale of 1 to 5, 1 being "just curious" and 5 being "ready to buy today", where are you on the scale? *

1

2

3

4

5

What type of property would you like to live in? *

Single-Family

Townhome

Condo

Have you been pre-approved by a lender? *

Yes

No

Do you need to sell your current home prior to purchasing a new one?

Yes

No

How long do you plan on living in your new home?

1 Year

3-4 Years

5-7 Years