What price range are you looking at? Under $300,000 $100,000 to $250,000 $250,000 to $300,000 $300,000 to $350,000 $350,000 to $400,000 $400,000 to $500,000 $500,000 to $600,000 $700,000 to $800,000 $800,000 to $900,000 $900,000 to $1,000,000 ±$1,000,000

Please select type of home: Single Family Home Single Family New Construction Single Family or Villa Townhome New Construction Condo New Construction Condo or Villa Villa or Patio Home

Please select home style preference: Ranch 1 or 2 Levels with Master on 1st level Home with Loft with Master on 1st level Two Levels with Master on 1st level Multi Level Home with Elevaotor Villa or Ranch All One Level Condo on lower level Condo on either upper or lower level Condo in Building with Elevators

Minimum number of bedrooms you'd like? 1 2 3 4 5+

Minimum number of bathrooms? 1 1 ½ 2 2 ½ 3 ±3

What are your kitchen needs? Eat-in Kitchen Walk-in Kitchen Country kitchen Optional

What are your dining needs? Dining Room Area Full Dining Room Optional

How about additional rooms? Optional Great Room Family Room Den Sun Room Enclosed Porch

What if any are your basement needs? Nice but not a 'must have' Finished Unfinished Partial Storage

If you need parking, how much? 1 car garage 1 car garage or carport/driveway 2 car garage 2 car garage or carport/driveway for 2 3 cars or more Nice but not a 'must have'

Maximum age of your new home? Depends on home condition New Construction 1 year or less 3 years or less 4 years or less ± 5 years ± 10 years ± 15 years ± 20 years ± 30 years Condition is more important

How about a pool? Nice but not a 'must have' Outdoor Indoor Indoor and Outdoor Not at all interested

How about a fitness center? Nice but not a 'must have' Would like exercise room Would like state of art fitness center Not at all interested

How about golf? Not at all interested 9-hole 18-hole Nice but not a 'must have'

Interested in a community bus? Not at all interested Very interested Mildly interested Nice but not a 'must have'

Proximity to Medical Center or Hospital? Within 10 miles Within 5 miles Very Close and Very Important Not a factor

When would you like delivery of your home? Within 3 months 6 months 9 months 1 year 1 1/2 years or more

Are you presently working with a realtor? No Yes

How soon would you like to start viewing homes? Immediately In 1 to 3 months In 3 to 6 months in 6 to 9 months In 9 to 12 months In 1 or 2 years

E-mail Address? (Required)

Day Tel. Number?

Evgs. and Weekend Tel.?

With whom should we speak?

Best time to call you? Days Evenings