Credit Counselling Assessment

Welcome and thank you for choosing to use our online assessment. The whole process should take you approximately 5-15 minutes to complete. Please ensure you provide as much information as possible. For immeditae service call 1.800.500.0003

Name * First Last
Phone * - (###) - ### ####
Cell Phone - (###) - ### ####
Email
How would you like to be contacted? * Email Call me on my cell phone Call me at the phone number provided
Best time of day to reach you. * Morning Afternoon Evening
Address
Street Address

Address Line 2

City

State / Province / Region

Postal / Zip Code

Country
The information you will need to have is as follows:
Your Monthly Income (Net) All Sources *
Total Credit Debt *
List your assets & the values.

List your assets & values : Example Car $12,000 RSP $3,000 This will help us determine the best course to take when the counselor contacts you.
List your debts by creditor and amount
Do you rent or own your home? Rent Own
How far behind are you in payments to creditors? I am current 2 to 3months over 4 months
Type the letters you see in the image below.

Credit Counselling Assessment

Credit Counselling Assessment

The information you will need to have is as follows: