Name____________________________________________________ Phone ______________________________________

Number in Household _____________ Preference for # Bedrooms _________ Preference for # Baths____________________

Current Address __________________________________________________ Is your home on the market? ___ Yes ___ No

Today’s Date _____________________________ Schedule for Relocation ________________________________________

Price Range ________________________________________________ email _____________________________________

(minimum)                                   (maximum)

Rate on a scale of 1-5 Least Important Most Important

1. Size of Master Bedroom/Suite	1	2	3	4	5
2. How many bedrooms in addition to Master	1	2	3	4	5
3. Number of Bathrooms	1	2	3	4	5
4. Preference for Subdivision	1	2	3	4	5
5. Preference for School District	1	2	3	4	5
6. Preference for County	1	2	3	4	5
7. Preference for Style of Home	1	2	3	4	5
8. Landscaping	1	2	3	4	5
9. County Services (paved/dirt, county maintained)	1	2	3	4	5
10. Remote or Close in	1	2	3	4	5
11. Public Water/Sewer	1	2	3	4	5
12. Year of Construction	1	2	3	4	5
13. Accessibility to Playgrounds/Park/Open Space	1	2	3	4	5
14. Size of Lot	1	2	3	4	5
15. Views	1	2	3	4	5
16. Size of Public Areas	1	2	3	4	5
17. Kitchen	1	2	3	4	5
18. Living Room	1	2	3	4	5
19. Great Room/Family Room	1	2	3	4	5
20. Types of Interior Finishes	1	2	3	4	5
21. Accessibility to Retail/Restaurants	1	2	3	4	5
22. Accessibility to Schools/Libraries/Churches	1	2	3	4	5
23. Pet Friendly or Horse Property	1	2	3	4	5
24. Types of Appliances you prefer (Jennaire/Hot Tub)	1	2	3	4	5
25. Art Studio/Music Studio	1	2	3	4	5
26. Deck Living	1	2	3	4	5
27. Formal Dining Room	1	2	3	4	5
28. Garage Size (2-3 bays)	1	2	3	4	5
29. Office/Study	1	2	3	4	5
30. Vaulted Ceilings	1	2	3	4	5
31. Walk-out Basement	1	2	3	4	5
32.Woodworking Shop/Oversized Garage	1	2	3	4	5
33. Additional Features	1	2	3	4	5

 

 

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