Boost Questionnaire

Consolidate Questionnaire

1) Marital Status *

• Single
• Married
• Divorced
• Widowed
• Domestic Partnership

2) Why are you trying to improve your credit? *

• Home Purchase
• Refinance
• Auto Loan
• Other

Please explain *

3) What is your timeline that you will need a boost? *

• Less than 30 days
• 30-60 days
• 60-120 days
• More than 120 days

4) Please estimate current credit score *

• Under 580
• 580-669
• 670-739
• 740-800
• Over 800

5) How many points are you looking to improve your score? *

• 25+
• 50+
• 75+
• 100+

6) What caused your credit score to be where it is currently? *

• High revolving debt
• Bankruptcy
• Late payments
• Foreclosure
• Defaulted loan(s)
• Debt settlement
• Short sale
• IRS tax lien
• Other

Please list other reason *

7) What type of account(s) do you currently have? *

• Debit card
• Credit card
• Secured card
• Personal loan
• Auto loan
• Home loan

8) How much credit debt do you currently have? *

• None
• $100 – $5,000
• $5,000 – $10,000
• $10,000 – $20,000
• $20,000+

Approximate amount of credit card debt *

9) Is this the first time you have tried to fix your credit? *

• Yes
• No

What did you do before to try and fix your credit? *

10) Have you recently been denied for any of the following: *

• Refinance
• Home Mortgage
• Credit Card
• Auto Insurance
• Other

Please list other credit products that you have been recently declined for *

11) What is your current employment status? *

• Employed
• Not working
• Laid Off
• Medical/Disabled
• Other

Please explain other *

12) Is your significant other in a similar situation? *

• Yes
• No or N/A

Please explain their situation *

13) Please check any retirement accounts that you have *

• 401k
• 403b
• 457
• Thrift savings/tsp
• Pension
• Roth IRA
• Other IRA
• Mutual fund
• Crypto
• Savings for a house
• None

Amount of savings? *

Name *

First

Last

Email *

Phone *

Address *

Address Line 1

Address Line 2

City

AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingState

Zip Code

Name of CreditBull analyst helping you *

When would you like to receive your follow up call? *

How did you hear about CreditBull?

• Google
• Other search engine
• Television
• Radio
• Referral
• Facebook
• YouTube
• Called by CreditBull Analyst

I agree to communications from CreditBull *

• I agree

Submit