Heaven Sent Lifestyle Management Inc

Heaven Sent Lifestyle Management Inc.
1-888-293-7212

Relocation Needs Assessment Form

If you are considering a move, whether local, inter-province or other, we can help. Please complete this form to receive a customized assessment to make your move easier. All information provided by our clients is kept in the strictest of confidence. Please review our privacy policy. Mandatory fields are indicated by an asterisk (*), all other fields are optional.

Contact Information


* Name:
*Email:
*Telephone:
*Alternate Telephone:

Address


Street Name & Number:
Apt/Suite/Unit:
*City:
*Province/State:
Zip/Postal Code:

Background


*Where would you like to move to?:
If other, Please clarify:
*When is your approximate move date?:
*What is your reason for moving?:
If other, Please clarify:

New Place


Are you looking to rent or buy?	Rent Buy
Number of Bedrooms:
What is your price range?
What area do you prefer?
North East South West	North-West North-East South-West South-East
Do you smoke?	Yes No
Do you have children?	Yes No
If yes, how many?
0 to 23 months old 2 to 5 years old	6 to 12 years old 13 to 18 years old
Do you have pets?	Yes No
If yes: Type 1:	Number of pets:
Type 2:	Number of pets:

Existing Place


Do you currently rent or own?	Rent Own
Do you require a realtor?	Yes No
Number of bedrooms?
Is this a house or apartment?
House apartment Other if other, specify:
What will you do with your existing residence?
Sell Terminate Keep
What is your close date or lease end date?
Do you need a mover?	Yes No
Do you need help in packing or unpacking?	Yes No

Required Amenities/Information at New Place


Community Information Distance to Hospital Parks & Rec	Daycare/School Place of Worship Other

Additional Information

* Required fields.

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