EmailMe Form - Co-Living Questionnaire

Name *
First Last
Email *
Phone Number *
Age *
Links to your social media accounts: *

Facebook

Instagram

LinkedIn
Give us a little background about you... *
What are your top 3 personal goals for 2020? *

Goal #1

Goal #2

Goal #3
Your Business Name: *
Your Business Website: *
What are you currently working on in your business? *
What are your top 3 business goals for 2020? *

Goal #1

Goal #2

Goal #3
How did you find out about the Co-Living House? *
Mastermind
Facebook
Instagram
Online Search
Friend
Other
Which cities are you most interested in living?
Check all that apply. Choose as many as you like. *
San Diego
Los Angeles
Las Vegas
Thailand
Bali
Other
Do you... *
work from home
have an office
Do you have a pet? *
Yes
No
What is your maximum rent budget? *
$ Dollars . Cents
On a scale of 1-10, how clean do you like your living environment? *

Not Clean
1

2

3

4

5

6

7

8

9

10

Super Clean Freak
What are you looking for in a co-living environment? (no wrong answers!) *
What interests you most about living in a Co-Living house with ALL ENTREPRENEURS? *
What are your "non-negotiables" for a home/living environment? *
What is your basic routine like? *
Add names of any other entrepreneurs who might want to move in with you (or who you would want to move in with!) *
When are you looking to move? *
NOW!
1-3 months
3-6 months
6-9 months
Other
How long would you like to live at a Co-Living house?
Choose as many as you like. *
Just a day or two
1-2 weeks
1-2 months
3-6 months
1 year or longer