Fuller Financial Solutions confidential questionnaire
To enable us to give you meaningful advice, please tell us more about you.
Name
*
First Name
Last Name
Cell phone number / Home phone number
*
Email address
*
example@example.com
Do you live in Ontario?
*
Yes
No
* We do not serve clients outside of Ontario.
Total unsecured debt (not including car loan)
$8,000 to $15,000
$15,000 to $30,000
$30,000 to $50,000
$50,000 to $100,000
$100,000+
Annual income
*
Do you rent or own?
Rent
Own
Reason for insolvency
Job loss
Income has been reduced
Overextension of credit
Unexpected expenses
High interest payments
Sickness or injury
Other
Are you experiencing any of the following
Calls from collection agencies
Wage garnishment
Legal actions
Would you like to share something about your situation?
Please verify that you are human
*
Save
Submit
Should be Empty: