Your name

Your email address

Work phone number

Home phone number

Have you visited Ladysmith before?
Yes No

Where are you from?

How long have you been looking for a home?

How many are in your family?

May I ask the ages of your children?

How many bedrooms and bathrooms do you need?

Where do you live now?

How long have you lived there?

Do you presently
Own? Rent?

How is the resale market in your area?

May I ask where you are employed?

How long have you been there?

Have you seen any homes that you really like? Please explain.

How soon are you ready to move after finding the right home?

Do you have questions about the costs involved in purchasing a new home?
Yes No

Do you need to make special financial arrangements to complete the purchase of you new home?
Yes No

Which price range are you looking at?

Please take a moment to describe your present home, including likes and dislikes.

Describe the minimum requirements your new home must have.

Describe a wish list of things your new home might have.