Senior Lifestyles Questionnaire
Initial Consult
The Vanderblue Team would like to know more about how we can assist you in accomplishing your home goals! Please take this survey so we can get to know you more.
*
1.
Name
(Required.)
2.
What do you see as your next steps?
A smaller home or one level Ranch
A larger home
55 and over community
Independent or Assisted Living
Stay in my home with help
Move in with family
3.
What locations are you considering? (please add state and town below)
4.
What are your “must haves” in your next home?
5.
What is your preferred timing for moving or updating?
0-3 months
3-6 months
6-12 months
12+ months
6.
Do you need assistance with…?
Sorting and organizing
Decluttering
Estate sales
Home repairs
7.
Do you need assistance with…?
Transportation
Lawn and garden maintenance
Financial planning
Legal questions
Home value appraisal
Accessibility/safety updates
Other (please specify)
8.
Phone Number
*
9.
Email
(Required.)
