EXIT CPCU Home Buyer Survey Question Title * 1. Are you a first-time home buyer, or have you purchased a home before? First-time home buyer Purchased home before OK Question Title * 2. How did you begin your most recent search for a home? Attended an open-house event Searched the internet Looked for 'homes for sale' signs Searched magazines Contacted real estate agents Searched newspapers Other (please specify) OK Question Title * 3. Which sources of information did you use during your most recent search for a home? (Check all that apply) Internet Real estate agents Newspapers Open houses Television Other (please specify) OK Question Title * 4. Which of the following internet websites did you visit during your most recent search for a home? (Check all that apply) Yahoo Homeagain Social networking websites Multiple listing service (MLS) websites Realtor.com Individual real estate agents' websites Real estate companies' websites Zillow Other (please specify) OK Question Title * 5. How soon are you planning to purchase a home? 0-3 months 3-6 months 6-9 months 1 year Other (please specify) OK Question Title * 6. How confident are you that you will be eligible to purchase a home? Extremely confident Very confident Somewhat confident Not so confident Not at all confident OK Question Title * 7. Would you be interested in attending any one of our home buying seminars? Extremely interested Very interested Somewhat interested Not so interested Not at all interested OK Question Title * 8. Would you consider attending any one of these seminars/lunch and learns? Credit Builder Lunch & Learn Mortgage Lunch & Learn Estate Planning Lunch & Learn Retirement Seminar Realtor and Buyer Luncheon Budgeting and Saving Lunch & Learn Other (please specify) OK Question Title * 9. How do you prefer to receive your information? (Check all that apply) Online E-mail Direct text message Other (please specify) OK Question Title * 10. Contact Information Name Address City/Town State/Province -- select state -- AL AlabamaAK AlaskaAS American SamoaAZ ArizonaAR ArkansasCA CaliforniaCO ColoradoCT ConnecticutDE DelawareDC District of ColumbiaFM Federated States of MicronesiaFL FloridaGA GeorgiaGU GuamHI HawaiiID IdahoIL IllinoisIN IndianaIA IowaKS KansasKY KentuckyLA LouisianaME MaineMH Marshall IslandsMD MarylandMA MassachusettsMI MichiganMN MinnesotaMS MississippiMO MissouriMT MontanaNE NebraskaNV NevadaNH New HampshireNJ New JerseyNM New MexicoNY New YorkNC North CarolinaND North DakotaMP Northern Mariana IslandsOH OhioOK OklahomaOR OregonPW PalauPA PennsylvaniaPR Puerto RicoRI Rhode IslandSC South CarolinaSD South DakotaTN TennesseeTX TexasUT UtahVT VermontVI Virgin IslandsVA VirginiaWA WashingtonWV West VirginiaWI WisconsinWY Wyoming ZIP/Postal Code Country Email Address Phone Number OK Question Title * 11. Do you have any other comments, questions, or concerns? OK Question Title * 12. Click here To Apply Not interested at this time Please have a mortgage representative contact me OK DONE