Customer Inquiry Survey

* Full Name:
Business Name:
Business Title:
Address:
* City:
* State:
* Zip Code
Home Phone:
Work Phone:	Extension:
Cell Phone:
* E-mail Address:

	* How would you describe yourself?

	What were you looking for on PomeroyAppraisal.com today? (Please elaborate in following text box) Appraisal Information Contact Information Associate Information Company Information Other (Please clarify below)

	Did you find everything you were looking for? (Please elaborate in following text box) Yes, I found everything. I found some of what I was looking for. No, I did not find what I was looking for.

	What type of property are you interested in having appraised? (Check All That Apply) Vacant Land Improved Property Agricultural Commercial Forest Land Industrial Institutional Recreational Residential Special Purpose

	Please briefly describe your property in the following text box.


POMEROY		APPRAISAL ASSOCIATES, INC. REAL ESTATE APPRAISERS ¤ CONSULTANTS