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Referral Interview Survey

Thank you for taking the time to complete this survey. My client is relocating from La Plata, Maryland to Fort Bragg, NC for Military PCS Duty and as part of their move, they are selling their home in Buckeye AZ. As part of my service to them, I am helping them identify the best realtor to assist with their move. Your thoughtful responses will help them make an informed decision. This should take no more than 10-15 minutes to complete and only the first page is required.
Name of Client: Robert and Carrie
Estimated Price of their property: 500k (Plus or Minus)
Information about the quality of referrals: Both Robert and Carrie have provided me with 3 - 5 referrals every year. They are in the "A" Category of my database and I consider them family. They are two of the sweetest, funniest, and most intelligent people I've ever met.
Deadline for Form Submission: Monday, June 9th, 2025 at 5:00 PM,
Surveys will be Reviewed on Tuesday, June 10th with a time TBD.

Agent Contact Information

Agent Name

Brokerage Name

State License #

Agent Phone Number

Email

What referral fee are you comfortable with?