Free Real Estate Lead Capture Form Template

Real Estate Lead Capture Form

Please complete this form to help us understand your property needs and preferences.

Personal Information

Name

    Email

    Please provide your email address.

      Phone Number

        Preferred Contact Method

          • Phone

          • Email

          • Text

          Property Preferences

          Property Type

            Single-family homeCondoTownhouseMulti-familyLandCommercial Property

            Preferred Location(s)

              • City

              • Neighborhood

              Budget Range

                • Below $250,000

                • $250,000 - $500,000

                • $500,000 - $1,000,000

                • $1,000,000 - $2,000,000

                • $2,000,000+

                Bedrooms Needed

                  • 1

                  • 2

                  • 3

                  • 4+

                  Bathrooms Needed

                    • 1

                    • 2

                    • 3+

                    Additional Information

                    How soon are you looking to purchase?

                      • Immediately

                      • Within 3 months

                      • Within 6 months

                      • Not sure

                      Are you pre-approved for a mortgage?

                      Additional Requirements/Preferences

                      Free text box for additional details.

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