Financial Health CheckupFinancial Health CheckupQuestion 1: Financial Health CheckupSelect all that apply: I run out of money before the end of the month Changes are needed to avoid future financial concerns My monthly payments do not lower my outstanding debt I am late with payments on a regular basis My finances feel out of control I am concerned people will find out about my financial situation Mortgage/rent payment is late or behind Collection agencies are calling Wages are being garnished Creditors are taking legal actionQuestion 2: Describe your situationSelect all that apply: Monthly Income has gone down Job Loss / Unemployed Getting Separated / Divorced Sickness or Medical Problems Working / Employed Retired Self Employed Business Failure Money Mismanagement OtherQuestion 3: How many in your Household? 1234567+ Question 4: Estimated amount of unsecured debt 50001000015000200002500030000350004000045000+ Question 5: Enter Approximate household net monthly income Question 6: Do you own a home or rent? OWNRENT Additional Questions for Homeowners6.1: How much could you sell your house for in the current market (best guess)? 6.2: How much do you currently owe on your mortgage(s)? 6.3: How many owners are there on the title of the house? 123456 Submit
