Debt owed not including car or mortgage Debt owed not including car or mortgage less than $10,000 $10,000 to $20,000 $20,000 to $30,000 $40,000 to $50,000 $50,000 to $60,000 over $60,000

How many account/creditors make up that total? How many account/creditors make up that total? 1 2 2 to 4 4 to 7 7 or more

Do you have a car? Do you have a car? No Yes

Do you have a loan against your car? Do you have a loan against your car? No Yes

Is that loan balance included in the total debts above? Is that loan balance included in the total debts above? No Yes

Do you own or are buying a home? Do you own or are buying a home? No Yes

If buying a home is your mortgage included in the total above? If buying a home is your mortgage included in the total above? No Yes

Are you making payments Are you making payments Always on time Sometimes on time Never on time Stopped making payments

Which describes your situation Which describes your situation No problem just want a better deal Struggling some weeks Struggling all the time

How much can you afford per week if one payment covered all unsecured debt? How much can you afford per week if one payment covered all unsecured debt? Cant afford anything less than $50.00 $50.00 to $100.00 $100.00 to $150.00 $150.00 to $200.00 $200.00 to $250.00 $250.00 to $300.00 $300.00 plus per week

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