Name:

Date:

How long have you been looking?
Are you working with another salesperson or broker? If so, who?
Do you rent or own your current home?
Must you sell your home or complete a lease period before buying?
How soon do you need to move?
Has a lender prequalified you for a loan?
What’s the name of the lender that prequalified you?
Will anyone else be helping you make the buying decision?
Where are you employed?
How do you like to communicate—by phone, fax, mail, or e-mail?
What's the best time to reach you? At what number?
Have you purchased a home before?

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