Number of employees
Number of company locations
Number of relocations per year (including "new hires")
Do you presently have a need for relocation services? ** Choose Option ** Yes No
What type of assistance do you currently provide transferees?

Do you presently utilize a "third party relocation company"? ** Choose Option ** Yes No

If yes, who?

Are you interested in creating/modifying a company relocation policy? ** Choose Option ** Yes No

When are you planning on relocating? ** Choose Option ** Immediate Within 60 days Within 6 Months Within the next year Over a year away
What is your destination city?
Is this move for personal reasons or is your employer asking you to relocate? ** Choose Option ** Personal Relocation Business Relocation

If employer related, does your employer presently utilize a relocation service company with whom you will be required/expected to work? ** Choose Option ** Yes No

Do you presently have a home to sell? ** Choose Option ** Yes No

If so, is it presently on the market? ** Choose Option ** Yes No
If so, at what price and with what company?
Must it be sold prior to your relocation? ** Choose Option ** Yes No
Are you considering/desiring the services of a Professional Moving Company? ** Choose Option ** Yes No
Do you anticipate a need for temporary housing, in light of its cost? ** Choose Option ** Yes No

If so, what are your temporary housing needs:

Duration of stay?
Size of apartment?
Furnished vs. unfurnished? ** Choose Option ** Furnished Unfurnished
Pet? ** Choose Option ** Yes No
Smoker? ** Choose Option ** Yes No
Desired amenities:
Special needs:

Do you plan to lease or purchase at your Destination City?
If leasing:

Are you willing to sign a 12-month lease?
Do you have a pet? Yes (Check if yes)
If so: what kind?
Breed?
How many?
Weight, full-grown

Is your credit in good standing?
Have you secured employment in the Destination City? ** Choose Option ** Yes No

Whether leasing or purchasing:

What price range are you seeking? ** Choose Option ** Under $200,000 $200,000 to $300,000 $300,000 to $400,000 $400,000 to $500,000 Over $500,000
What size residence are you seeking:

Bedrooms ** Choose Option ** Two Three Four Five Six or more
Baths ** Choose Option ** One Two Three Four or more
Square Feet

Please tell us more about your needs and services you are looking for:
What issues are most important to you? (school, location, dist to work, etc.)
What amenities are most important to you?