Golden Touch Financial: New Client Questionnaire
Thank you for choosing Golden Touch Financial as your trusted partner in credit repair. We look forward in being a catalyst apart of your journey!
Name
*
First Name
Last Name
Email
*
example@example.com
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
*
-
Area Code
Phone Number
Are you married?
*
Yes
No
Are you currently employed?
*
Yes
No
Why are you seeking credit repair services? Have you had credit repair services before in the past?
*
How did you hear about Golden Touch Financial?
LinkedIn
Facebook
Twitter
Instagram
Family/Friend
Website
Google Search
Referral
Other
If someone referred you, please enter their name so we can thank them!
*
What range is your credit score in at the moment?
*
350-450
450-550
550-650
650-700
Have you filed for Bankruptcy before in the past seven years?
*
Yes
No
What major purchases are you planning to make in the next 12 months?
*
Purchase/Refinance Home
Purchase/Refinance Car
Lease a new apartment
Apply for a business loan
Apply for a student loan
Other
What is your preferred contact method?
*
Phone
Via Text Mesage
Vial Email
Please provide active credit report log in credentials, if there is a key code please provide that as well. Credit Karma isn't accurate and I need to see your most recent report. IdentityIQ has a 7 day trial for $1 *
*
Appointment
Submit
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