Buyer Intake Questionnaire

Take the first step toward finding the perfect property. Fill out the form below to share your preferences and get started on your property search today.

First Name *

Last Name *

Phone *

Email *

Current City *

Current State *

Are you currently working with another real estate agent? *

Please select an option

Yes
No
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I fully respect your relationship with your Realtor - how can I help you?

Are you a first-time homebuyer? *

Yes
No
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Have you been pre-approved for a loan? *

Please select an option

Yes
No
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Estimated purchase price

$

Type of Property Looking For *

Please select an option

Detached home
Condo/Townhouse
Multi-family (4 or fewer units)
Investment property
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Number of Bedrooms *

Please select an option

1+
2+
3+
4+
5+
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Number of Bathrooms *

Please select an option

1+
2+
3+
4+
5+
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Number of Levels *

Please select an option

One story
Two story
Three story or more
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What are your "must haves" in the property? *

What are your "nice to haves"? *

Areas you are intersted in? *

Is this home intended for aging in place? *

Please select an option

Yes
No
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Yard Requirements *

Please select an option

No yard needed
Small yard
Medium yard
Large yard
Fenced yard
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Preferred Move-In Date *

Preferred Contact Method *

Please select all that apply

Phone call
Text message
Email
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Any other important details or preferences I should know?

By submitting this form, you agree to receive calls and text messages from Kimberlee Proctor and The Rollings Home Team about your inquiry and related services, which may include messages sent using automated technology. Consent is not required to receive services. We keep our communication helpful and relevant - never overwhelming. We respect your privacy, do not sell or share your information for third‑party marketing, and you can opt out anytime. Message and data rates may apply.