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To help us serve you better, please take a minute to answer a few questions.

First Name *

Last Name *

Email *

What city are you currently live in? *

Please select oneKleinburgKing CityMarkhamRichmond HillTorontoVaughanOther

What Is Your Postal Code?

How Did You Here About Us? *

Please select oneBillboardSite SignageCountryWide Employee Referred MeCountryWide Homeowner Referred MeFriend/Relative Referred MeMagazine/NewspaperOnline AdvertisingOwn/Owned A CountryWide HomeRadioTelevisionRealtor Referred MeSocial MediaOther

What Type Of Buyer Would You Consider Yourself? *

Please select oneFirst TimeMove-Up (Larger Home)Move-Down (Smaller Home)Investor

What Type Of Home Are You Interested In? *

Please select oneTraditional TownContemporary TownRear Lane TownStacked TownSemi-DetachedDetachedBungalowOther

What Size Home Are You Looking For? *

Please select one1500 sq. ft - 2500 sq. ft2500 sq. ft - 3500 sq. ft3500 sq. ft - 4500 sq. ftOver 4500 sq. ft

What is your new home budget? *

Please select one700's - 1.3m1.3m - 1.8m1.8m - 2.3m2.3m - 2.8m2.8m - 3.3m3.3m +

When will you make your home buying decision? *

Please select oneIMMEDIATELYwithin 2 - 4 monthswithin 4 - 6 monthsover 6 months

When would you want to occupy your home? (Please select one)

within 90 days within 12 month within 15-18 month within 24 month

Notes/Comments

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