| Your name |
| Your spouse’s name |
| Street Address |
| Best time to reach you | Day | Evening | Anytime |
| Tel numbers (land) |
| Cell Numbers |
| Is this your primary residence? | Yes | No | How long have you lived here? |
| Are you a first-time home seller? | Yes | No | Do you have a sale price in mind? | Yes | No |
| Are you moving out of the area? | Yes | No | Where would you like to move to? |
| Why are you wanting to sell? |
|
| How soon do you need to have sold your home? | Less than 1 month | 1 – 3 months | 3 months + |
| What is the approximate square meter of your home? | Baseline calculation
Sqm x 5000 |
| When was your home built? | What improvements have you made? |
| What do you love most about your home? |
|
| Which features do you think may be of concern to buyers? |
|
| How much do you think your home is worth? | Do you need assistance finding another home? |
| Are you currently working with a Property Practitioner | Yes | No | Have you had other evaluations done | Yes | No |
| Are there any questions you still have? Can we get started? |
|
