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Intake form
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Name
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Email address
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What type of real estate are you interested in?
Please select at least one option.
Residential
Commercial
Land
Investment
Are you looking to buy or sell?
Select
Buy
Sell
What is your budget range?
Select
Under $100,000
$100,000 - $300,000
$300,000 - $500,000
$500,000 - $1,000,000
Over $1,000,000
What is your preferred location?
What is your timeline for buying or selling?
Select
Immediately
Within 3 months
3-6 months
6-12 months
No specific timeline
Are you currently working with a real estate agent?
Select
Yes
No
What features are most important to you?
Please select at least one option.
Number of Bedrooms
Number of Bathrooms
Outdoor Space
Parking
Proximity to Schools
Public Transport Access
How did you hear about us?
Select
Referral
Social Media
Search Engine
Website
Additional questions or comments
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