Are you always worried about making payments on time?
Yes
No
Do you have more than $7500 in unsecured debt or credit card debt?
Yes
No
Do you have outstanding medical bills?
Yes
No
Are your wages currently been garnished?
Yes
No
Are you receiving foreclosure notices?
Yes
No
Do you have a pending lawsuit?
Yes
No
Have you tried other ways to relieve your debt?
Yes
No
Do you understand what led you to this point and what
you should do differently to avoid repeating your mistakes?
Yes
No
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