top of page
Modern Living Room

Client  
Questionnaire

This questionnaire will take 2-3 minutes to complete. The more information you share, the better and help Jackie give you a customized experiance. Have fun!

Contact Information

Will anyone else be purchasing/selling/renting this home with you?

Let's dive a little deeper.

How would your friends describe you?

Rate the following:

Coffee
PoorFairGoodVery goodExcellent
Social Events
PoorFairGoodVery goodExcellent
Outdoor Fun
PoorFairGoodVery goodExcellent
Board Games
PoorFairGoodVery goodExcellent
Beer
PoorFairGoodVery goodExcellent
Wine
PoorFairGoodVery goodExcellent
Reading
PoorFairGoodVery goodExcellent
Video Games
PoorFairGoodVery goodExcellent
Roller Skating
PoorFairGoodVery goodExcellent
Virtual Reality
PoorFairGoodVery goodExcellent
Check all that apply:
Check all that apply:

Almost done!

What is the best way to contact you?
Choose your pizza toppings:

Thanks for submitting!

No events at the moment
bottom of page