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.
 
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.
 
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