Name: *

Email: *

What is the most important issue to you in hiring a realtor:

In what price range do you feel your home should sell:

What do you think the best title line or three opening
words should be for a newspaper ad or facts flyer:

Street Address: *

City:

Are you aware of any upgrades to the plumbing,
electrical, heating, air conditioning, or any special
systems included with the home:

What improvements have you made that you
are proud of since you have owned your home:

What is it that you believe will make a buyer
want to purchase your home in the next 90 days:

What features of your home do you feel should not
be advertised or necessarily highlighted:

Average Water Bill: $ / Month

Average Electric Bill: $ / Month

Average Gas Bill: $ / Month

Any association fees: $ / Month

How old are the following:

Roof:

Hot water heater:

Furnace:

Air Conditioning:

Windows:

Nearby Schools:

Elementary:

Middle:

Senior High:

On a scale of one (0) to five (5), please rate your primary concerns. Zero (0) being the of no importantance or of No Concern with Five (5) being very important or Very Concerned.

Buyer’s Qualifications: Please Select 0 - No Concern 1 - Least Concern 2 - Minimal Concern 3 - Average Concern 4 - High Concern 5 - Very High Concern

Multiple Listing Service: Please Select 0 - No Concern 1 - Least Concern 2 - Minimal Concern 3 - Average Concern 4 - High Concern 5 - Very High Concern

Commissions: Please Select 0 - No Concern 1 - Least Concern 2 - Minimal Concern 3 - Average Concern 4 - High Concern 5 - Very High Concern

Showing Procedures: Please Select 0 - No Concern 1 - Least Concern 2 - Minimal Concern 3 - Average Concern 4 - High Concern 5 - Very High Concern

Advertising: Please Select 0 - No Concern 1 - Least Concern 2 - Minimal Concern 3 - Average Concern 4 - High Concern 5 - Very High Concern

Open Houses: Please Select 0 - No Concern 1 - Least Concern 2 - Minimal Concern 3 - Average Concern 4 - High Concern 5 - Very High Concern

Inconveniences: Please Select 0 - No Concern 1 - Least Concern 2 - Minimal Concern 3 - Average Concern 4 - High Concern 5 - Very High Concern

Possession: Please Select 0 - No Concern 1 - Least Concern 2 - Minimal Concern 3 - Average Concern 4 - High Concern 5 - Very High Concern

Pricing: Please Select 0 - No Concern 1 - Least Concern 2 - Minimal Concern 3 - Average Concern 4 - High Concern 5 - Very High Concern

Closing Costs: Please Select 0 - No Concern 1 - Least Concern 2 - Minimal Concern 3 - Average Concern 4 - High Concern 5 - Very High Concern

Security: Please Select 0 - No Concern 1 - Least Concern 2 - Minimal Concern 3 - Average Concern 4 - High Concern 5 - Very High Concern

Sale-ability: Please Select 0 - No Concern 1 - Least Concern 2 - Minimal Concern 3 - Average Concern 4 - High Concern 5 - Very High Concern

Internet Strategy: Please Select 0 - No Concern 1 - Least Concern 2 - Minimal Concern 3 - Average Concern 4 - High Concern 5 - Very High Concern

Financing: Please Select 0 - No Concern 1 - Least Concern 2 - Minimal Concern 3 - Average Concern 4 - High Concern 5 - Very High Concern

Negotiations: Please Select 0 - No Concern 1 - Least Concern 2 - Minimal Concern 3 - Average Concern 4 - High Concern 5 - Very High Concern

Name recognition of agent: Please Select 0 - No Concern 1 - Least Concern 2 - Minimal Concern 3 - Average Concern 4 - High Concern 5 - Very High Concern

Name recognition of agency: Please Select 0 - No Concern 1 - Least Concern 2 - Minimal Concern 3 - Average Concern 4 - High Concern 5 - Very High Concern

Easy exit guarantee: Please Select 0 - No Concern 1 - Least Concern 2 - Minimal Concern 3 - Average Concern 4 - High Concern 5 - Very High Concern

Lock boxes: Please Select 0 - No Concern 1 - Least Concern 2 - Minimal Concern 3 - Average Concern 4 - High Concern 5 - Very High Concern

Communication: Please Select 0 - No Concern 1 - Least Concern 2 - Minimal Concern 3 - Average Concern 4 - High Concern 5 - Very High Concern

Search engine strategy: Please Select 0 - No Concern 1 - Least Concern 2 - Minimal Concern 3 - Average Concern 4 - High Concern 5 - Very High Concern

Timing: Please Select 0 - No Concern 1 - Least Concern 2 - Minimal Concern 3 - Average Concern 4 - High Concern 5 - Very High Concern

Buying seamlessly: Please Select 0 - No Concern 1 - Least Concern 2 - Minimal Concern 3 - Average Concern 4 - High Concern 5 - Very High Concern

( Write in your own concern ) Please Select 0 - No Concern 1 - Least Concern 2 - Minimal Concern 3 - Average Concern 4 - High Concern 5 - Very High Concern

( Write in your own concern ) Please Select 0 - No Concern 1 - Least Concern 2 - Minimal Concern 3 - Average Concern 4 - High Concern 5 - Very High Concern

( Write in your own concern ) Please Select 0 - No Concern 1 - Least Concern 2 - Minimal Concern 3 - Average Concern 4 - High Concern 5 - Very High Concern

Comments about Concerns:
(any additional information related to your primary concerns, for instance, if "Showing Procedures" was a primary concern then please explain what limitations or special procecures may be of interest to you)

The items you miss the most may be the items that most excite the new buyer that I bring to your home! There may be pain in a departing a wonderful home but gain in promoting it well.

1: (item I will miss)

2: (item I will miss)

3: (item I will miss)

4: (item I will miss)

5: (item I will miss)

6: (item I will miss)

7: (item I will miss)

8: (item I will miss)

9: (item I will miss)

10: (item I will miss)

IF You Were the Buyer of your own property, what features would most excite you about your property? Please include details about your interior/exterior, backyard, and neighborhood where appropriate.

1: (feature that excites me)

2: (feature that excites me)

3: (feature that excites me)

4: (feature that excites me)

5: (feature that excites me)

6: (feature that excites me)

7: (feature that excites me)

8: (feature that excites me)

9: (feature that excites me)

10: (feature that excites me)

Address of Property

Type of Property
(Single family dwelling, 1/2 duplex, townhouse, apartment, etc.)

Style of Property
(Bungalow, 2 Story, 4 level split, 3 level split, Bi Level, etc.)

Square Footage

Basement Development
(Unfinished, Finished, etc.)

Bathrooms 1 1.5 2 2.5 3 3.5

Recent Upgrades

Age of Roof

Garage
(Single Detached, Double Detached, Single Attached, Double Attached, etc.)

Flooring
(Hardwood, Tile, Carpet, Laminate, etc.)

Year Built

Builder

Message: