Buyer Interview Form
Note: This form is for buyers only and not for agents.
Buyer Information
Name
First Name
Last Name
Phone Number
Please enter a valid phone number.
Email
example@example.com
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Are you currently employed?
Yes
No
What is your reason for moving?
What is your reason for buying?
What is your budget range?
What are your goals for buying a home?
What are the things you like about your house/home?
What are the things you don't like about your house/home?
What is your timeframe in terms of buying a real state?
e.g 30 days, 60 days, etc.
How soon are you planning to move?
Did you already check other homes with other agents?
Yes
No
How many are you in the household?
Are you currently renting?
Yes
No
If yes, how much is the rent per month? ($)
How many bedrooms are you looking for?
Is there a specific location you prefer?
Do you want to have a fenced yard?
Yes
No
How many garage do you need?
How many cars do you have?
Do you want a large kitchen?
Yes
No
What are you looking for in a master bedroom?
Do you have any comments, suggestions, or special instructions?
Appointment Details
Appointment Date and Time
Assigned Agent
First Name
Last Name
Agent's Email
example@example.com
Agent's Phone Number
Please enter a valid phone number.
Submit
Should be Empty: