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Client Questionnaire
Are you a new or returning client?
*
Yes
No
Do you have a Business Partner(s)? Yes or no, if yes, Please list their name(s) below.
Yes
No
Business Partner(s) Name
What is your business name and what type of business do you have?
What type of funding are you interested in recieving? Check all that apply.
Business Funding
Personal Funding
Both Personal and Business Funding
Credit Cards
Loans
Line of Credit
What is the reason you are seeking funding? The amount?
What is your current challenges?
Do you currently have an entity set up for your busniess? (LLC, CORP, NON PROFIT)
Yes
No
Are you currently enrolled in a credit repair program? If yes, please list.
Yes
No
Please list the name of the credit program you are enrolled in.
What is your current credit score?
500 Below
500-600
600-700
680-750
750 Above
What is currentlu holding you back from expanding or scaling your business? (Lack of funding, Lack of direction, inadequate staff, ect) Please Explain.
Are you prepared to invested $500 to $50,000 for our business services? We do offer payment options.
Yes
No
I need payment options
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