Name:
City:
State:
Phone:
Email:
Would
You Like Us to Set up a "Live Search" of the MLS for you at
no cost - Showing You Homes That Meet Your Exact Criteria?
Yes
No
Have
You Been Pre-approved by a Lender?
Yes
No
Have
You Been Pre-qualified by a Lender?
Yes
No
Are
You Currently Working With An Agent to Help You Find a House?
Yes
No
Do
You Have a House to Sell?
Yes
No
Would
You Like Us to Refer You to Several Realtors That Will Help You NET
Much More For Your House, and/or Achieve a Quicker Sale?
Yes
No
Why
Are You Moving?
New job in Chicago area
Relocating to Chicago area
Want to be closer to work
Looking to downsize living space
Want better school district
Looking to downsize monthly payment
Want to own versus rent
Bored in current home/neighborhood - want different lifestyle
How
Close Do You Want to Live to Work?
Within 5 minutes
Within 10 minutes
Within 20 minutes
Within 30 minutes
As long as I'm 5 minutes from a a train station
As long as I'm 10 minutes from a a train station
As long as I'm 20 minutes from a a train station
What
Kind of Property Would You Like to See?
Single Family Home
Townhouse
Condo
Apartment Building - Duplex, Triplex, Fourplex
Land
Retail Space
Home to Rent
Other (Please Note In Comments)
Estimated
Desirable Price Range
0-$100,000
$100,000-$150,000
$150,000-$200,000
$200,000-$250,000
$250,000-$300,000
$350,000- $400,000
$400,000-$450,000
$450,000-$500,000
$500,000-$550,000
$550,000-$600,000
$600,000-$650,000
$650,000-$700,000
$700,000-$750,000
$750,000-$800,000
$800,000-$850,000
$850,000-$900,000
$900,000-$950,000
$1,000,000-$1,100,000
$1,100,000-$1,200,000
$1,200,000-$1,500,000
$1,500,000-$2,000,000
$2,000,000-$3,000,000
$3,000,000-$4,000,000
$4,000,000-$5,000,000
$6,000,000-$7,000,000
$7,000,000-$8,000,000
$8,000,000-$9,000,000
$10,000,000+
Maximum
Monthly Payment (PITI) You Would Be Comfortable With
$600/mo
$700/mo
$800/mo
$900/mo
$1,000/mo
$1,100/mo
$1,200/mo
$1,300/mo
$1,400/mo
$1,500/mo
$1,600/mo
$1,700/mo
$1,800/mo
$1,900/mo
$2,000/mo
$2,100/mo
$2,200/mo
$2,300/mo
$2,400/mo
$2,500/mo
$2,600/mo
$2,700/mo
$2,800/mo
$2,900/mo
$3,000/mo
$3,100/mo
$3,200/mo
$3,000/mo
$3,000/mo
$3,400/mo
$3,500/mo
$3,600/mo
$3,700/mo
$3,800/mo
$3,900/mo
$4,000/mo
$4,100/mo
$4,200/mo
$4,300/mo
$4,400/mo
$4,500/mo
$4,600/mo
$4,700/mo
$4,800/mo
$4,900/mo
$5,000/mo
$6,000/mo
$7,000/mo
$8,000/mo
$9,000/mo
$10,000/mo
Over $10,000/mo
Do
You Want to Look For Homes With A Certain Time-on-Market?
0-15 days
15-30 days
30-60 days
60 days or more
120 days or more
360 days or more
Doesn't Matter
(Note - longer
time on market homes may be more likely to be "fixer-uppers"
or overpriced or situations where the seller may be more flexible)
What
Age of Home do You Prefer?
New Construction
0-5 years
6-10 years
10-20 years
20-30 years
30+ years
Doesn't matter
Do
You Want to Be on a Cul-de-Sac?
Yes
No
Doesn't Matter
The
Home Must Have The Following:
Available Cable or DSL Internet Services
Lots of Windows
Cathedral Ceiling
Screened Porch
Enclosed Sunroom
Deck
Hardwood Floors
Utility Room
Unfinished Basement
Finished Basement
Finished Attic
Unfinished Attic
Central Air
Trash Compactor
Waterfront
Wooded Lot
Fenced Yard
Storage Shed
1+ car garage
2+ car garage
3+ car garage
1+ bathroom
2+ bathrooms
3+ bathrooms
Family Room
Dining Room
Den
In-ground Pool
Above-ground Pool
Gas Fireplace
Wood Burning Fireplace
Other (Please Note In Comments)
Communities
You Would Like to Consider For Your Next Home
Arlington Heights
Barrington
Barrington Hills
Buffalo Grove
Deerfield
Highland Park
Highwood
Hoffman Estates
Inverness
Kildeer
Lake Bluff
Lake Forest
Lake Zurich
Mount Prospect
Northbrook
Palatine
Rolling Meadows
Schaumburg
Wauconda
Wilmette
Winnetka
Wheeling
Other (Please Note In Comments)
When
Are You Planning to Start Looking For a Home?
As Soon As Possible
About a Month From Now
2-3 Months
3-6 Months
6-12 Months
Over 12 Months
How
Would You Like to Be Contacted?
Phone
E-mail
If
Phone - When Would You Like to Be Called?
Anytime - In the Morning
Anytime - During the Day
Anytime - During the Evening
Weekday Mornings
Weekday Daytime
Weekday Evenings
Saturday Mornings
Saturday Daytime
Saturday Evenings
Sunday Mornings
Sunday Daytime
Sunday Evenings
Anytime!
Comments: