1. Name * 
2. Address * 
3. Zip code * 
4. City * 
5. Telephone * 
6. Mobile 
7. E-Mail * 
   
8. In what area or place you are searching for a house? *


9. Since when are you searching for a suitable house? *


10. When do you possible want to buy a house? *


11. What kind of house do you prefer?*
(f.e. How many bedrooms?, Independent?, Near the coast?)


12. When do you intend to go to Spain for visiting houses? *


13. Are you familiar with the surroundings? *


14. What pricerange dou you prefer? *


15. Do you whish a mortgage? *


16. Do you want personal contact?


17. How did you find us?


18. Further remarks