1. About You:

Your Name:

Birthday:

Occupation:

Spouse's Name:

Birthday:

Occupation:

Wedding Anniversary:

Home Purchase Anniversary:
 
2. Your Children

Name

Birthday

Sports/Hobbies

 

 

Name

Birthday

Sports/Hobbies

 

 

Name

Birthday

Sports/Hobbies

3. Contact Information:

Home Phone Number:

Your Cell Phone:

Your Work Phone:

Your Email Address:

Spouse's Cell Phone:

Spouse's Work Phone:

Spouse's Email Address:
4. Additional Information:

Pets? Types/Names

 

 

Favorite Restaraunts

 

 

Favorite Foods

 

 

Favorite Things to do with Friends & Family

 

Fun or Exciting Improvements You've Done to your Home
   
Do you Anticipate Your Housing Needs to Change:
In the Next 6 Months In the Next 7-12 Months
In the Next 1-3 Years Not Moving Ever Again ;)
Do you Know of Anyone Who May Need Assistance in Buying or Selling Real Estate?  Yes   No
 
If so, Would you be Comfortable Referring Them to me?  Yes   No
I Would Love the Opportunity to Personally Contact any Referral you may have for me...
Name:
Phone Number:
Email Address:

*I promise, I won't pressure them, I'll treat them like family, and I'll keep you informed.



Thank you for taking the time to complete this questionaire.  I look forward to reading your responses and helping you, a friend, a family member, and/or a colleague in the future.  I appreciate your continued support and always love your referrals!