Customer Questionnaire

Tell Us About You

Name
Street Address
City
State
Zip or Postal Code
Phone
Email Address

GENERAL INFORMATION

Where do you plan to build your home?
Do you currently own the lot?
Do you need assistance finding a lot to build on?

TELL US ABOUT YOUR LOT

Where is it located?
What is the lot size?
Is there anything unusual about the property which might be helpful for us to know?
Is there a home on the property now? Yes No
Does the property have access to Town/County Sewer? Yes No
Does the property have access to Town/County Water? Yes No
Does the property have access to natural gas? Yes No

WHAT SIZE HOME DO YOU WANT TO BUILD

Size
How many bedrooms?
How many bathrooms?

ADDITIONAL INFORMATION ABOUT YOUR NEW HOME

Mother-in-Law/Guest Suite? Yes No
Great room? Yes No
Home theatre? Yes No
Home gym? Yes No
Home security system? Yes No
Pre-wire for computers/media/sound? Yes No

INTERIOR FINISHES
Hard wood floors, Granite countertops, Fireplaces, Trim?

EXTERIOR FINISHES
Stone, Brick, Cedar or equivalent siding, Pools, Outbuildings, Walkways?

QUESTIONNAIRE FOR LOT DEVELOPMENT

Do you have a lot you wish to sell? Yes No
Do you have a lot you would like to develop jointly? Yes No
If yes, where is the lot located?

Type your initials:

Check the box then click Submit

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Muir Woods Builders, Inc.
11530 Valley Road
Fairfax, VA 22033
Tel: (703) 560-0440
Fax: (703) 560-3755 muirwoods@vacoxmail.com