We Would Like to Know:
How did you hear about our Web
site?
**Please Select** Internet
Search Yahoo Lycos Webcrawler Infoseek Excite CityView Other
Web Site Dallas Morning News Advertisement Friend Other
When are you planning to sell
your home?
**Please Select** Immediately Less
than 3 months Less than 6 months This year Next
year Not sure, but would like market anlaysis
Where will you be relocating to?
**Please Select** Relocate
out of State Relocate within Texas Relocate within
DFW Metroplex Still Deciding
Information About Your
Home
What is your house worth?
**Please Select** $50,000
to $100,000 $100,000 to $150,000 $150,000 to
$250,000 $250,000 to $350,000 $350,000 to $500,000 $500,000
to 1 million 1 Million+
Number of Bedrooms:
**Please Select** 1 2 3 4 5 6
Number of Bathrooms:
**Please Select** 1 2 3 4 5
Number of Living Areas:
**Please Select** 1 2 3 4 5
Number of Cars In Garage:
**Please Select** None 1
Car 2 Car 3 Car 4 Car
Year Built:
Approximate Square Footage:
Subdivision/Address:
What Kind of House:
One story-single
family
Two story-single
family
Duplex
Condo/Townhome
Additional features of your home:
Pool
Spa
Study
Game Room
Please comment on anything else
I may need to know about your house and neighborhood:
Information About You
Name:
Address:
City:
State:
Zip:
Daytime Phone:
Evening Phone:
Email Address: