Roof Type *

Check all that apply

Asphalt/Shingle

Tile/Barrel Tile

Metal

Other

Floor Covering

Check all that apply

Carpet

Tile

Marble/Stone

Wood

Laminate

Vinyl

Kitchen Countertops

Check all that apply

Formica/Laminate

Corian

Granite/Quartz/Marble

Other

Kitchen Appliances

Check all that apply

Gas Range

Electric Range

White Appliances

Black Appliances

Stainless Steel Appliances

Other

Has your kitchen been remodeled?

within the last two years

within the last five years

within the last 10 years

Original/Not remodeled

Additional Home Features

Check all that apply

Pool

Spa

Pool & Spa

Fireplace

Fenced Backyard

Enclosed Porch

Covered Porch

U-shape Driveway

Corner Lot

Name *

First Name

Last Name