Rent Questionnaire

1
Name* This field is required.
First Name
Last Name
2
Email* This field is required.
example@example.com
3
Phone Number* This field is required.
Area Code
Phone Number
4
How did you hear about us?
andrewharied.com
andrewharied.com blog
Apartments.com
Apartment List
Apartment Guide
Broker Referral
Casual Meeting
Craigslist
Direct Mail
Domu
Facebook
Family
Friends
FultonGrace.com
Homes.com
HotPads
LinkedIn
Listanza
LoopNet
Move.com
Open House
Past Client
RadPad
RealEstate.com
Realtor.com
Redfin.com
Referral
Rent.com
Rentals.com
RentHop.com
RentJungle.com
RentLinx.com
RentPath.com
Signage
Sloopin.com
Trulia
VeryApt.com
WalkScore
Word of Mouth
Yelp
Zillow
Other
5
Please list or link to any properties you already wish to view belowI would like to view:
Huge
Large
Normal
Small
Ok
Ok
6
Names of any additional people to live with you(Only complete if there are any)
7
Emails of any additional people to live with you(Only complete if there are any)
8
Earliest possible desired move in date* This field is required.The earliest I'm willing to move is:
Date
Month
Day
Year
9
Latest possible desired move in dateI need to move on or before:
Date
Month
Day
Year
10
Are you in a lease right now?* This field is required.
YESNO
11
When does your current lease end?My lease ends
Date
Month
Day
Year
12
Minimum number of bedrooms required?* This field is required.
Studio+
1+
1+den+
2+
2+den+
3+
4+
5+
13
Minimum number of bathrooms required?* This field is required.
1+
2+
3+
14
Do you need assigned parking?* This field is required.Please know assigned parking will limit your available options
I definitely need 1 assigned parking space (Must Have)
I definitely need 2 assigned parking space (Must Have)
I prefer an assigned parking space, but I can park on the street
No need for parking, do not have a car
15
Do you have any pets?
YESNO
16
Please describe your pet(s), type, size and breed
17
What is your budget for the perfect apartment?* This field is required.(Before any utilities, parking, or pet fees)
$ Per Month
18
What is your availability to look at apartments?* This field is required.
Weekdays
Weeknights
Weekends
Flexible
19
Are you currently scheduled to see any apartments?* This field is required.
Yes, I have showings scheduledNo, I have no showings scheduled
20
Are you working with an agent right now?
Yes, I am working with an agentNo, I do not have an agent
21
What is the combined gross annual income of all applicants?(Before subtracting benefits, insurance, taxes, etc)
$0 - $25,000 gross annual income
$26,000 - $50,000 gross annual income
$51,000 - $75,000 gross annual income
$76,000 - $100,000 gross annual income
$101,000 - $125,000 gross annual income
$126,000 - $150,000 gross annual income
$151,000 - $175,000 gross annual income
$176,000 - $200,000 gross annual income
$200,000+ gross annual income
Should be Empty:

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