Hines Premier Services
Client Intake Form
Contact Information
Full Name *
Phone Number *
Email Address *
Preferred Contact Method *
Select one
📞 Call
💬 Text
📧 Email
Which Service Are You Interested In?
🏠 Apartment Approval Assistance
🔎 Apartment Locating Assistance
📝 Rental Application Support
💼 Income Qualification Guidance
💳 Credit Repair Assistance
🏢 Housing Consultation
✈️ Vacation Planning
🏝️ Hotel & Resort Bookings
🚢 Cruise Bookings
👥 Group Travel Planning
👨👩👧👦 Family Vacations
🇺🇸 Domestic Travel
🌍 International Travel
🏠 Apartment Approval Assistance
When do you need to move?
ASAP
0-30 Days
30-60 Days
60+ Days
Monthly rent budget
Under $1,200
$1,200-$1,500
$1,500-$2,000
$2,000-$2,500
$2,500+
Credit score range
Excellent
Good
Fair
Poor
No Credit
Not Sure
Any evictions or rental debt?
No
Yes
Not Sure
🔎 Apartment Locating Assistance
Preferred city/area
Bedrooms needed
Studio
1 Bedroom
2 Bedrooms
3+ Bedrooms
Must-have features
Move-in date
📝 Rental Application Support
Have you already found an apartment?
Yes
No
Do you need help with documents?
Yes
No
Not Sure
Application deadline
Have you been denied before?
No
Yes
Not Sure
💼 Income Qualification Guidance
Income type
W-2 Employee
Self-Employed
Benefits
Student
Multiple Sources
Monthly income range
Under $2,500
$2,500-$4,000
$4,000-$6,000
$6,000+
Do you have paystubs/bank statements?
Yes
No
Some Documents
Do you have a co-signer?
Yes
No
Maybe
💳 Credit Repair Assistance
Main credit concern
Collections
Late Payments
Charge-Offs
Inquiries
Low Score
Not Sure
Have you checked your report recently?
Yes
No
Not Sure
Current score range
Under 500
500-579
580-649
650-699
700+
Not Sure
Goal
🏢 Housing Consultation
What do you need help understanding?
Are you ready to apply soon?
Yes
No
Maybe
Preferred consultation method
Phone
Zoom/Video
Email
Best time to contact you
✈️ Vacation Planning
Destination or vibe
Travel dates
Total budget
Under $1,000
$1,000-$2,500
$2,500-$5,000
$5,000+
Number of travelers
🏝️ Hotel & Resort Bookings
Destination
Hotel/resort style
Budget Friendly
Luxury
All-Inclusive
Family Friendly
Romantic
Check-in/check-out dates
Rooms needed
🚢 Cruise Bookings
Preferred cruise destination
Cabin type
Interior
Ocean View
Balcony
Suite
Not Sure
Departure month
Number of travelers
👥 Group Travel Planning
Group type
Birthday
Wedding
Family Reunion
Girls Trip
Business/Event
Other
Estimated group size
Destination
Do you need payment plans?
Yes
No
Maybe
👨👩👧👦 Family Vacations
Adults traveling
Children traveling
Family-friendly needs
Budget range
Under $1,000
$1,000-$2,500
$2,500-$5,000
$5,000+
🇺🇸 Domestic Travel
US destination
Flight needed?
Yes
No
Maybe
Hotel needed?
Yes
No
Maybe
Travel dates
🌍 International Travel
International destination
Passport status
Have Passport
Need Passport
Passport Expiring Soon
Not Sure
Travel dates
Do you need flights?
Yes
No
Maybe
Additional Notes
Please provide any additional information that may help us assist you:
Submit Client Intake Form
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Hines Premier Services
📞 571-699-8036
☎️ Office: 703-709-8866
📧 info@hinespremierservices.com
📍 2001 L Street N.W. Floor 5 Suite 70, Washington, DC 20036
Serving the DMV Area & Beyond