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Credit Repair Consultation Form Template

Enhance Your Clients' Credit Repair Journey Effortlessly

Struggling to gather essential information from clients seeking credit repair? This Credit Repair Consultation Form Template is crafted for businesses that need to streamline interactions with clients aiming to improve their credit scores. With this template, you can capture vital information, facilitate a structured approach to your consultations, and enhance client satisfaction, while remaining compliant with best practices. Easily customize it to match your brand, ensure quick data collection, and boost your conversion rates. Try the live template today to see how simple it can be.

Full name
Email
Phone number
Preferred contact method
Phone call
Text message
Email
Best time to reach you
Morning (8am-12pm)
Afternoon (12pm-5pm)
Evening (5pm-8pm)
Anytime
What is your primary credit goal?
Remove inaccurate items
Lower credit utilization
Recover after financial hardship
Prepare for mortgage/auto/loan
Build or improve score generally
Business credit needs
Other
Please Specify:
Estimated current credit score range
Under 500
500-579
580-639
640-699
700-749
750+
Not sure
Which negative items are on your credit reports, if any?
When did most negative items occur?
Within the last 6 months
6-12 months ago
1-2 years ago
More than 2 years ago
Not sure
Do you currently have any active credit report disputes in progress?
Yes
No
Which types of credit do you currently have?
Credit cards
Auto loan
Mortgage
Personal loan
Student loans
Retail or store cards
None
Monthly budget you are comfortable with for credit repair services
Under $50
$50-99
$100-149
$150-199
$200+
Prefer not to say
Anything else you would like us to know about your situation or goals?
Do you give us permission to contact you at the phone number and email provided?
Yes
No
Do you consent to a soft credit inquiry for consultation purposes only?
Yes
No
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Paper art illustration featuring a credit repair consultation form with decorative elements for an informative article.

When to use this form

Use this intake when you need a clear picture of your client's credit history before a discovery call or plan. It helps you qualify leads, set goals, and gather reports so you can build a realistic dispute and rebuilding path. It is ideal before major financing events: pair it with the Mortgage pre-approval checklist form if a home loan is next, or connect it to the Small business loan intake form after a bank denial. Your clients preparing to open trade lines can pre-stage documents for the Credit application for business account form. The result: you get organized data, fewer back-and-forth emails, and a faster start on corrections and score gains.

Must Ask Credit Repair Consultation Questions

  1. What are your top credit goals and your target timeline?

    Clear goals help you prioritize actions that move your score before key milestones. A target date lets you set expectations and choose tactics that fit your window.

  2. Which negative items should we prioritize for dispute or resolution (late payments, collections, charge-offs, public records)?

    Focusing on the most damaging tradelines drives faster gains. It also prevents wasted effort on minor or accurate items that are unlikely to change.

  3. Do you have recent credit reports from all three bureaus and your current credit card utilization?

    Reports and utilization give a verified baseline to measure progress. They also reveal quick wins, like paying down balances to optimize utilization bands.

  4. Have you applied for new credit in the last 6-12 months, or will a vendor or landlord request a reference soon?

    Recent inquiries and planned applications affect timing, sequencing, and dispute cadence. If a supplier will check your history, you may also need a Credit reference request form.

  5. What is your budget and preferred communication, and do you authorize us to contact creditors on your behalf?

    Budget and channels keep the plan realistic and prevent delays. For billing errors with vendors, you might pair our outreach with a Credit note request form to document adjustments.

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