Homebuyer Questionnaire — Your Closing Table

First Name *

First name is required.

Last Name *

Last name is required.

Email Address *

Please enter a valid email address.

Phone Number *

Phone number is required.

Date of Birth *

Date of birth is required.

Preferred Contact Method *

✓

Phone Call

✓

Text Message

✓

Email

✓

Please select at least one preferred contact method.

Is this your first time purchasing a home? *

Yes, first time

No, I've done this before

Please make a selection.

Current Employment Situation *

Select all that apply.

✓

Full-time employed

✓

Self-employed / 1099

✓

Part-time

✓

Recently changed jobs

✓

Not currently employed

Please select at least one option.

Military Experience or Affiliation *

Please make a selection.

Have you used or explored your VA home loan benefit before? *

Yes, used it before

Explored but not used

No, not yet

Please make a selection.

What is your current living situation? *

I rent

I own a home

Living with family / friends

Please make a selection.

Current monthly housing payment *

Please enter your current housing payment.

When does your lease end? *

Please enter your lease end date.

Will anyone else be involved in the home buying decision? *

Yes

No, just me

Please make a selection.

When are you looking to purchase a home? *

ASAP

1–3 months

3–6 months

6+ months

Please make a selection.

Have you spoken with a lender yet? *

Yes, I'm pre-approved ✓

Yes, but not pre-approved

No, not yet

Please make a selection.

Do you have any savings set aside for your home purchase? *

Yes

Working on it

No

Please make a selection.

Would you like to explore down payment assistance or grant options? *

Yes, please!

No, not for me

Please make a selection.

Which best describes your current financial situation? *

Ready to buy — just need guidance

May need help improving my credit or finances

Just exploring options

Please make a selection.

Have you checked your credit recently? *

Within the last 30 days

Within the last 6 months

Not recently

Please make a selection.

What range best describes your credit profile? *

700+ (Excellent)

640–699 (Good)

580–639 (Fair)

Below 580

Please make a selection.

Have you experienced any of the following in the past 2–3 years? *

Please select at least one option.

Do you have any accounts in collections or unresolved debts? *

Yes

No

Not sure

Please make a selection.

Desired monthly payment range *

Min

Max

Please enter your desired monthly payment range.

Preferred areas or cities *

Please enter your preferred areas or cities.

Type of home you're interested in *

✓

New construction

✓

Resale home

✓

Townhome / condo

✓

I'm open to anything

Please select at least one option.

If we find a plan that works for you, are you ready to move forward? *

Yes, I'm ready to move forward

I need a little more time

Just exploring right now

Please make a selection.

Are you open to speaking with a trusted lender if needed? *

Yes, I'm ready

Not right now

Please make a selection.

How did you hear about us? *

Please select at least one option.

Please complete the security check.

Your information is private and will only be seen by Shanti Hendricks.
After review, you'll receive next steps within 1–2 business days.

Let's find out where you stand