Complaint Form

Qresponses
1First Name
Left Blank2
User entered value23
Average submission length in words (ex blanks)1.04
2Last Name
Left Blank4
User entered value21
Average submission length in words (ex blanks)1.00
3Address
Left Blank5
User entered value20
Average submission length in words (ex blanks)2.30
4City
Left Blank0
User entered value25
Average submission length in words (ex blanks)1.48
5State
Arizona1
California1
Florida5
Georgia1
Illinois1
Louisiana1
Maryland1
Montana1
New Jersey1
New Mexico1
New York1
North Carolina1
Ohio Oklahoma3
Pennsylvania1
Texas2
Virginia1
West Virginia1
Wyoming1
6Zip Code
Left Blank0
User entered value25
Average submission length in words (ex blanks)0.08
7Home Phone
Left Blank8
User entered value17
Average submission length in words (ex blanks)1.24
8Cell Phone
Left Blank15
User entered value10
Average submission length in words (ex blanks)1.30
9Email
Left Blank0
User entered value25
Average submission length in words (ex blanks)3.16
10Are You A Senior Citizen
NO20
YES4
11Name of Builder
Left Blank0
User entered value25
Average submission length in words (ex blanks)3.32
12Approx. date home purchased
Left Blank4
User entered value22
13Name of development or community
Left Blank7
User entered value18
Average submission length in words (ex blanks)3.22
14What type of financing did you use
Conventional11
FHA3
Other8
VA1
15Any Known code violations
No4
Unsure12
Yes9
16Have You Contacted Builder in Writing?
No8
Yes17
17Have You Contacted an Attorney?
No12
Yes12
18Is warranty provided by builder or private 3rd party warranty company?
Both2
Builder12
Not Sure8
Private Company1
19If you have a private 3rd party company warranty, please provide the name of the warranty company
Left Blank19
User entered value6
Average submission length in words (ex blanks)2.50
20Are You Still under warranty
No8
Not Sure8
Yes7
21Date warranty ends or date ended
Left Blank11
User entered value15
22Does contract/warranty require MEDIATION or ARBITRATION?
No6
Not Sure12
Yes6
23Does contract/warranty name an arbitration service that must be used?
No10
Not Sure10
Yes2
24Name of arbitration service that must be used:
Left Blank21
User entered value4
Average submission length in words (ex blanks)1.75
25Please indicate what category this complaint falls under
Construction Defect16
Home Inspector5
Mandatory Arbitration1
Other7
Predatory Lending3
Toxic Mold1
Warranty Issues6
26LIST ALL KNOWN DEFECTS AND DESCRIBE YOUR SITUATION IN DETAIL
Left Blank0
User entered value25
Average submission length in words (ex blanks)336.04