Credit Lady VIP Program

1

Name* This field is required.

First Name

Last Name

2

Your Best Email* This field is required.

example@example.com

3

Phone Number* This field is required.

Please enter a valid phone number.

4

State Your Looking To Purchase* This field is required.City and State to narrow it down. If more than one city include that information

5

What is your primary source of income?* This field is required.

o Employment (W-2)

o Self-employed / business owner

Combination of income sources

6

How long have you been earning income consistently?* This field is required.

Less than 1 year

1–2 years

3–5 years

5+ years

7

Average monthly gross income* This field is required.Before taxes are taken out

8

Is your income consistent and verifiable?* This field is required.

YESNO

9

Do you currently rent? * This field is required.

YESNO

10

If yes to previous question: Monthly rent amount* This field is required.enter your monthly rent payment

11

How long have you been paying rent consistently?* This field is required.

Less than 12 months

1–2 years

3–5 years

5+ years

I do not have a rental history

12

Have you been late on rent more than twice in the past 12 months?* This field is required.

YESNO

13

Can rental payments be verified?* This field is required.

YESNO

14

Are you prepared to bring between 5%–10% down toward a home purchase?* This field is required.

Yes

I’m close but need guidance

Not at this time

Type option 4

15

How soon could you realistically have your down payment ready?* This field is required.

Already available

Within 3–6 months

Within 6–12 months

More than 12 months

16

What monthly housing payment would you feel comfortable managing long-term?* This field is required.

Under $1,200

$1,200–$1,800

$1,800–$2,500

$2,500+

17

Are you prepared to take full responsibility for homeownership (maintenance, utilities, upkeep)?* This field is required.

Yes

I’m open to learning

Not sure

Type option 4

18

Have traditional mortgage routes not worked for you in the past?* This field is required.

Yes

No

I haven't tried

Type option 4

19

Would you be open to participating in credit preparation and homebuyer education if recommended?* This field is required.

YESNO

20

When would you ideally like to be fully positioned as a homeowner?* This field is required.

Within 2-6 months

Within 6–12 months

Within 12–24 months

Just exploring options

21

Are you willing to participate in a structured, guided pathway rather than a quick-fix approach?* This field is required.

Yes

Maybe

No

Type option 4

22

Why are you interested in homeownership at this time?* This field is required.

23

What has prevented you from purchasing traditionally?* This field is required.

24

How did you hear about this private opportunity?* This field is required.

Email

Referral

Zoom session

Other

25

If Referred By A Person - Add Their Name Below* This field is required.Name and Number If You Have Both Available or Put N/A (if does not apply)

26

Anything else you’d like us to know about your situation?* This field is required.If no, put N/A in the box below

27

Final Acknowledgment* This field is required.By signing below, I understand this is a private pathway and completion of this questionnaire does not guarantee approval.