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Free
Business Health Assessment
First name
*
Last name
*
Email
*
Phone
*
How long have you been in business?
*
Less than 6 months
6 months – 1 year
1–2 years
3–5 years
Over 5 years
What is your average monthly business revenue?
*
Less than $2,500
$2,500 – $5,000
$5,001 – $10,000
$10,001 – $25,000
Over $25,000
What type of business entity do you have?
*
LLC
Corporation (C-Corp or S-Corp)
Sole Proprietorship
Nonprofit
Not sure
What is your registered business name?
*
Do you have an EIN (Employer Identification Number)?
*
Yes
No
Not Sure
If Yes, please enter your EIN
Do you have a D-U-N-S (D&B) Number?
Yes
No
Not Sure
If Yes, please enter your D&B #
Do you know your current Paydex Score?
*
Yes
No
Not Sure What This Is
If Yes, please enter score below
Do you have a business website?
Yes
No
If Yes, please enter website URL
Do you have a dedicated business phone number?
*
Yes
No
If Yes, please enter phone number
Do you have a professional business email address? (Example: yourname@yourbusiness.com)
Yes
No
Other
If Yes, please enter email)
Do you have a business bank account?
Yes
No
Other
If Yes, please enter bank name
What is your average personal FICO credit score (average of all 3 bureaus)?
*
Below 580 (Poor)
580–669 (Fair)
670–739 (Good)
740–799 (Very Good)
800+ (Excellent)
Do you currently have any business loans or credit products?
*
Yes
No
If Yes, please list types and amounts
What are your average monthly business expenses?
*
Less than $2,000
$2,000 – $5,000
$5,001 – $10,000
Over $10,000
Do you currently have a brand logo for your business?
*
Yes
No
Do you have a written business plan?
*
Yes
No
In Progress
Which of the following would benefit you the most right now?
*
Personal or Business Credit Restoration / Build
Branding & Marketing (Website, Logo, etc.)
Mentorship Program (Business Development, Scaling, etc.)
None of the Above
Submit
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