1. Desired property type
Please select
Single Family Detached
Condominium
Townhouse
Rental
Vacation Home
Other
of the home you wish to buy
2. Target Price
Please select
$50,000
$75,000
$100,000
$125,000
$150,000
$175,000
$200,000
$225,000
$250,000
$275,000
$300,000
$350,000
$400,000
$450,000
$500,000
$550,000
$600,000
$650,000
$700,000
$800,000
$900,000
$1,000,000
$1,250,000
$1,500,000
$2,000,000 and more
3. Desired bedrooms
Please select
0
1
Studio
2
3
4
5
4. Desired bathrooms
Please select
0
1
1.5
2
2.5
3
3.5
4
4.5
5. ZIP codes where you'd like to
buy a home (up to 8).
6. Living area (square feet)
Please select
0 - 500 SQ FT
500 - 750 SQ FT
750 - 1,000 SQ FT
1,000 - 1,250 SQ FT
1,250 - 1,500 SQ FT
1,500 - 1,750 SQ FT
1,750 - 2,000 SQ FT
2,000 - 2,500 SQ FT
2,500 - 3,500 SQ FT
3,500 - 5,000 SQ FT
5,000 - 7,000 SQ FT
7,000 - 10,000 SQ FT
Over 10,000 SQ FT
N/A or None
Don't Know
8. What is your reason for
purchase?
Please select
Need a Bigger Home
Attracted to New Community
Need a Smaller Home
Dissatisfied with Current Community
New Family Members
Vacation Home
Corporate Relocation-New Job
Build Home Equity
Retirement
Tax Write -Off
Divorce/Separation
InvestmentProperty
No Longer Wish to Rent
9. What is your mortgage status?
Please select
I am pre-approved and
pre-qualified.
I am pre-qualified.
I am pre-approved.
I have not applied.
I don't know.
10. Expected down payment
Please select
$0
Undecided
$10,000
$20,000
$30,000
$40,000
$50,000
$60,000
$70,000
$80,000
$90,000
$100,000
$125,000
$150,000
$175,000
$200,000
$225,000
$250,000
$275,000
$300,000
$325,000
$350,000
$375,000
$400,000
$450,000
$500,000
More than $500,000
11. When do you expect to buy?
Please select
as soon as possible
within next 2 weeks
within 3-4 weeks
within 5-7 weeks
within 2-4 months
in 5 or more months
12. When do you expect to choose
an agent?
Please select
as soon as possible
within next 2 weeks
within 3-4 weeks
within 5-7 weeks
within 2-4 months
in 5 or more months
13. How long do want to receive
agent proposals?
01
02
03
04
05
06
07
08
09
10
11
12
12
13
14
15
16
17
18
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22
23
24
25
26
27
28
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30
31
Jan
Feb
Mar
Apr
May
Jun
Jul
Aug
Sep
Oct
Nov
Dec
2008
2009
2010
2011
2012
2013
2014
2015
2016
2017
14. What are
your specific requirements? Let agents know your needs so they can customize
their proposals to you. The more detail you provide, the better the agent
response will be
How did you hear about us:
Select
Google
Yahoo
MSN
AOL
Other Website
Friend
TV
Magazine
Radio
Billboard
Other
State:
Select
Alabama
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California
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Connecticut
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Florida
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Hawaii
Idaho
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Indiana
Iowa
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Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
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Montana
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Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
Washington, D.C
West Virginia
Wisconsin
Wyoming
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