SURVEY QUESTIONNAIRE Survey Questionnaire Business Name Business Legal Entity Sole TraderLimitedPartnership Business Start Date Business Type RetailRestaurantOff License Customer Name Date of Birth Phone No. Mobile No Email Address Business Address Gross Sales (As per filed accounts) Is your client's business profitable? Profitable within last 2 yearsBreak-evenLoss-making Do you accept payments by credit & debit cards? YesNo What is your average monthly card takings? Which card terminal provider do you use? Do you have an existing MCA ? YesNo What is their current MCA Outstanding? How much funds customer needs Term of funds required (12 months to 72 months) How will the funding help your client's business? Which bank does your client use for your day-to-day business banking? Current Home Address When did you move to above address? Residential status Owner with MortgageOwner with No MortgageTenantLiving with Parents Previous Address and date of moving (if less than 3 years at current address) Preferrable date Preferrable time Remark
