Debt Quiz
Fill out this form to see if you could benefit from credit counselling services.
Does your debt cause tension or fights in the home or keep you awake at night?
Yes
No
Sometimes
Are your credit cards and/or lines of credit maxed out?
Yes
No
Sometimes
Are you unsure of exactly how much you owe on your credit cards?
Yes
No
Sometimes
Do you have difficulty making you minimum monthly payments?
Yes
No
Sometimes
Do you borrow from one credit card to pay another?
Yes
No
Sometimes
Have you used cash advances or payday loans to make up missed payments?
Yes
No
Sometimes
Do you avoid calls from creditors or collection agencies about missed payments?
Yes
No
Sometimes
Do you have any saving for an "incase of emergancy" fund?
Yes
No
If your friends, family or employer found out about your debts would you feel embarrassed?
Yes
No
Full Name
*
First Name
Last Name
E-mail
*
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