Customer Survey

So that we can better assist you, fill out the form below with as much detail as possible.

Please be truthful as you answer all questions, as this will allow us to provide you with options that will approve you.

Thank you for allowing Arizona Housing Experts to assist you in finding your new apartment home!

Customer 1
Name
Telephone Number
Email Address
Current Address
Are you on a lease now
Have you rented before
If Yes, when & where
Do you have good rental history
If Yes, when & where
Current Job
Position
Length of Employment
Monthly Income before taxes
Previous Job
Position
Length of Employment
Any Rental Judgments or Evictions
Do you have any Misdemeanors or Felonies
If Yes, Please explain

Customer 2 (Spouse or Other Occupant)
Name
Telephone Number
Email Address
Current Address
Are you on a lease now
Have you rented before
If Yes, when & where
Do you have good rental history
If Yes, when & where
Current Job
Position
Length of Employment
Monthly Income before taxes
Previous Job
Position
Length of Employment
Any Rental Judgments or Evictions
Do you have any Misdemeanors or Felonies
If Yes, Please explain

Apartment Information - Tell us what you are looking for
How many bedrooms?
How many bathrooms ?
Price (Max)
How many people will occupy the home?
Desired Lease Term
Any Pets (Include breed & weight)?
City/Location cross streets
Any Additional Information

Other Information
Today’s Date
How Did You Hear About Us?
Az Housing Experts’ Agent you were referred to
When are you looking to Move?