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First Name
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Last Name
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Email
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Mobile Phone
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Identify As
Male
Female
Non-Binary
Prefer not say
Other
Age Range
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18-24
25-31
32-40
41-49
50-60
61 +
Do you identify as Aboriginal or Torres Strait Islander?
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Yes
No
Prefer not to say
Relationship Status
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Single
Couple
Single Parent Family
Adults with dependent/s
Defacto
Divorced
Engaged
Family
Friends
Married
Other
Separated
Single Parent Family/Widow
Widow
Current Postcode
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State
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ACT
NSW
NT
QLD
SA
TAS
VIC
WA
Are you an Australian Citizen or an Australian Permanent Resident?
Is each person looking to purchase the home a First Home Buyer?
Total Annual Household Income (before Tax)
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What savings do you have that can be used towards a deposit and purchase costs of a property?
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Number of Dependents
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Do you currently own property?
What is your preferred Property Type?
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Preferred Home Location(s)
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Suburb CSV
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When is your preferred time for us to call you?
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How did you hear about BuyAssist?
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family or friend
google search
Facebook
Instagram
government website
other
Any comments or questions?
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