Home » Survey Survey Choose Side:Choose Side: All About YOU To get to know you so we can serve you better! Your Name First Name Last Name Your Email If you have a Spouse/ Partner Name Email Birthday Your Phone Number ### ### #### Home Mailing Address Street Address Address Line 2 City State / Province / Region Postal / Zip Code CountryCountryCountry Country The Fun Stuff All of your Favorites Favorite Sports Team Favorite Food Favorite Adult Beverage Favorite Restaurant Favorite Candy and / or Snack Favorite Place to Shop Favorite Color Are you Gluten Free YesNo Do you have fur babies? YesNo Hobbies Favorite Charity Do you have Children? YesNo If Yes, What are their name(s) and age(s) The Biz Side Slightly less fun but still important Level of Satisfaction 54321 Do You know of anyone looking to refinance or buy a home YesNo If Yes, What is their name? And Number? Please rate Arlene Buckmaster 54321
