Name:
Home Phone:
Work Phone:
Mobile Phone:
Home Email:
Work Email:
Preferred method of contact:
phone
email
Best time to contact:
before 8 am
8 am -12 pm
12 pm - 5 pm
after 5 pm
Project Address:
City:
State:
Zip:
County:
Time frame desired:
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Immediately
0-3 Months
3-6 Months
6-12 Months
Next Year
Unsure-Planning
Project type: pick all that apply from drop down menus below
1)
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Addition
Remodel
Both
2)
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Interior
Exterior
Both
3)
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One Room
One Floor
One Section-Wing-Side
Whole House
Attic
Basement
Kitchen
Outdoor Kitchen
Bathroom
Bedroom
Entry-Foyer
Den-Library-Office
Guest room
Mother in Law Quarters
Laundry Room
Pantry-Storage room
Wet Bar
Home Theater
Breakfast Nook
Game Room
Exercise Room
Family Room
Great Room
Formal Living Room
Studio
Garage
Deck
Fence
Outbuilding
Window-Door Replacement
Describe Other:
Please describe your project:
In your opinion is this a gentle face lift or major overhaul? Please rate:
gentle
1
2
3
4
5
6
7
8
9
10
major
Budget amount expected:
$
In your opinion is the budget super tight or unlimited?
tight
1
2
3
4
5
6
7
8
9
10
unlimited
Purpose of Project:
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Purchase Research
Preparation for Sale
Family Needs - Desires
Necessary Repairs
Other
Describe Other:
House Occupancy:
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Vacant
Occupied
if occupied, by:
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Owner
Family Member
Rental Tenant
Other
Describe Other:
How did you hear about us?
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Street Signs
Yellow Pages
Referral
ORA Directory
NKBA Directory
Other
Describe Other: