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Question #1: Are
you behind on your mortgage, or possibly facing foreclosure?
YES
NO
Question
#2:
Do you get anxious with every phone call, expecting it to be
another collector harassing you for payment?
YES
NO
Question
#3:
Are you threatened with the repossession of your car, loss of your
credit cards, or with legal action?
YES
NO
Question
#4:
Do you have trouble sleeping at night, consumed with thoughts of
debt?
YES
NO
Question
#5:
Do you argue with your spouse/significant other over money and
bills?
YES
NO
Question
#6:
Are you falling further into debt each month as you pay for normal
monthly expenses?
YES
NO
Question
#7:
Is an increasing percentage of your income being used to pay off
bills?
YES
NO
Question
#8:
Are you near or at the limit of your credit lines?
YES
NO
Question
#9:
Can you only make the minimum payments on your credit
card accounts?
YES
NO
Question
#10:
Are you borrowing to pay for items you used to buy with cash?
YES NO
Question
#11:
Do you use credit cards to pay off other debts, including other
credit cards?
YES NO
Question
#12:
Have you taken money from retirement or savings accounts to pay
bills?
YES NO
Question
#13:
Do you put off medical/dental visits because you can't afford
them?
YES NO
Question
#14:
If you lost your job or were cut back in hours, would you have an
immediate financial problem?
YES NO
Question
#15:
Have you considered bankruptcy as a way out of debt?
YES NO
Question
#16:
Have you had a special circumstance (layoff, divorce, wedding,
illness, death, student loan, new home or car, etc.) that has
thrown your budget into chaos and made finances unmanageable?
YES NO
Question
#17:
Do you know your total debt?
YES NO
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