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Newcomer Survey


Enter to win a FREE Trip for Two
One FREE Trip will be awarded each calendar quarter!
3 Days/2 Nights at one of 19 Great Destinations
Taxes, transportation, and meals not included. Offer subject to change.

Please complete all questions to qualify and ensure you double check the contact information so we can contact you right away if you are the lucky winner!
Full Name:
Address:
Address (Cont):
City:
State:
Zip:
Phone:
Fax:
Email:
Reason for Moving
Major shortcoming of old city of residence:
Major advantage of new city of residence:
Would you use the same realtor again?
Number of years you expect to live here:
Two things you would handle differently in your next move?
Most important purchases you will make in the next 12 months. Check off any that apply:
What services are you most concerned with replacing since your move?
Child Related:
Medical:
Personal:
Do you own your new residence or rent?
Was your old residence purchased or rental?
Number of weeks at new residence?
Number of years at old residence?
What was your old zip code?
AGE DEMOGRAPHICS
Age of youngest resident?
Age of oldest resident?
Number of people living in household
Number of children attending public school?
Number of children at private school?
Number of household members over 55?
WELCOME PACKAGES: If yes, please help us by fully completing the following 5 questions.
Did you receive a welcome pack from us?
What did you like best about it?
Was there anything you disliked?
Which gift certs have you used or will use?
Suggestions for future packs?
Businesses you would like to see in pack?
Household:
Weekend Getaways - How many times a year?
Number of times you visit a local Day Spa annually?
TRAVEL:
Family vacations per year?
Average length of family vacation?
LIFESTYLE: * Required Section
Do you get a daily newspaper?
Times per month you use the Internet to search for LOCAL goods and services:
Times per month you use (NON-Grocery) coupons you receive in the mail:
How often do you use Yellow Pages?
*Required Section

ADVERTISE WITH WELCOME EXPRESS!

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Discover how we can put you in direct contact with the ever growing newcomer population in your area.

Call (949) 481-0600 for more information or click to download our Media Kits and request more information .

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BUSINESS OPPORTUNITIES

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Would you like to offer your clients that
"extra touch" of value & service? Distribute complimentary copies of Home At Last  to them - we can even provide custom covers!
 
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Home At Last in Your City! LEARN MORE