Client Questionnaire

Name

Phone

Email

Home Address

How would you prefer to be contacted? How would you prefer to be contacted? Call Email

What is your primary motivation for building a new home? (check all that apply) What is your primary motivation for building a new home? (check all that apply) Downsizing Investment/Dream Home Need More Space Relocation Other

Please Specify

How many bedrooms would you like in your new home? How many bedrooms would you like in your new home? 1 2 3 4 or more

What approximate square footage do you have in mind for your home?

Would you like a: Would you like a: Bungalow 2-Storey Other

Please Specify

Would you like a finished basement? Would you like a finished basement? Yes No

Are there any mobility considerations (now or potentially in the future) that we should design for? Are there any mobility considerations (now or potentially in the future) that we should design for? Yes No

Please Specify

Are there any Fidelity Homes floor plans that you would like to use or customize? See our Current & Rural Builds for ideas. Are there any Fidelity Homes floor plans that you would like to use or customize? See our Current & Rural Builds for ideas. No, I would like a fully custom design Yes, I like a specific house Fidelity Homes has built I already have house plans that I would like Fidelity Homes to build

When are you hoping to move in?

What is your approximate budget range for your new home?

Do you have pre-approved financing? (Once approved, we will need a copy of your financing approval letter) Do you have pre-approved financing? (Once approved, we will need a copy of your financing approval letter) Yes No

Where is your lot located?

Is the lot serviced? Is the lot serviced? Yes No

Is the cost of servicing the lot included in the budget you stated previously? Is the cost of servicing the lot included in the budget you stated previously? Yes No

Are you aware of any restrictions on your lot? (For example, any environmental protections, proximity to a livestock barn or other livestock) Are you aware of any restrictions on your lot? (For example, any environmental protections, proximity to a livestock barn or other livestock) Yes No

Please specify the restrictions

How did you hear about Fidelity Homes? How did you hear about Fidelity Homes? Personal Contact Website Social Media Other

Please specify