Credit Repair Client Intake Form – What Should I Include?

I’m in the process of setting up a small credit repair service, and I want to make sure I’m collecting the right information from clients upfront. I’m working on putting together a clean, professional client intake form, but I’m second-guessing what’s essential and what might be overkill.
For anyone who's in this space—what do you recommend including in the form? So far, I’ve got the basics like:
  • Full name
  • Contact info
  • Date of birth
  • Last 4 of SSN (for identity verification)
  • Summary of credit issues (collections, late payments, etc.)
  • Current credit score (if known)
  • Goals (e.g., home loan, car lease, just boosting score, etc.)
Is there anything else I should be asking early on? I want it to be thorough but not intimidating or too personal right out of the gate.

Also, if anyone’s willing to share a template or example (even just a structure), I’d really appreciate it. Trying to keep it secure, professional, and easy for clients to fill out ideally online.
 
Definitely include a question about any ongoing disputes. Clients forget to mention those, and it can mess with your workflow down the line.
 
I’d skip asking for even the last 4 of the SSN until there’s a signed agreement. Privacy concerns are real especially for new clients.
 
Have you pulled your credit report in the last 30 days? could be useful. Saves you a pull if they already have it.
 
Ask what their monthly budget is for debt repayment. If they’re broke-broke, your strategy’s gonna be different.
 
You’d be surprised how many people feel ashamed about bad credit. Make the language friendly not like a government form.
 
Someone above mentioned goodwill letters...true story, mine got a 30-day late removed from Capital One. Worth asking if they’ve tried
 
- Credit bureaus of concern
- Budget for services
- Timeline expectations
- Existing support systems (coach, financial planner, etc.)
Pack it in but keep it tight.
 
Honestly you’re doing better than most just by asking these questions. Keep iterating, take feedback, and you’ll crush it.
 
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