Client Consultation Questionnaire

Your Name*
Nickname
Your Number*
Date of Birth
Preferred Method of Contact: (Phone,Email,Text)*
Current Address*
Mailing Address (if different)
Occupation/Employer
Spouse/Partner’s Name and Occupation
Household Members: (Names, ages, and relationship)
Pets: (Type, breed, number, and any special housing needs)
Are you looking to: (Buy, Sell, Rent, Invest)
Primary Goal: (Permanent residence, vacation home, investment property, relocation, etc.)
Desired Move-In or Sale Date
Are you currently working with another agent?
How did you hear about this real estate service?
Do you currently own or rent your home?
If you own, do you need to sell before purchasing?
If renting, when does your lease end?
What do you like most about your current home?
What do you dislike about your current home?

By checking this box, I agree by electronic signature to the Electronic Disclosure Consent Agreement; to receive recurring marketing communication from or on behalf of Jennifer Smith, including auto-dialed calls, texts, and artificial/prerecorded voice messages (message frequency varies; data rates may apply; reply "STOP" to opt-out of texts or "HELP" for assistance); and to the Terms of Service and Privacy Policy of this website. Consent not required to make a purchase. I understand that I can call to obtain direct assistance.

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