DEBT REVIEW

Apply for debt review

Please complete the form below and a registered debt counsellor will contact you. It takes a few minutes, and there is no judgement.

1. Is your debt putting you under tremendous stress? YesNo

2. Are you afraid to answer private calls? YesNo

3. Is your debt affecting your work and marriage? YesNo

4. Are you avoiding your creditors’ emails and letters? YesNo

5. Have you missed any instalment in the last three months? YesNo

6. Do you have sleepless nights thinking about your debts? YesNo

7. Is your instalment/interest rate too high? YesNo

8. Is your monthly budget flexible? YesNo

9. After paying all your debts, do you have any money left to cover monthly expenses? YesNo

Full names

Surname

Cell phone number

Landline (optional)

Email address

Town

Province

Best time to call Additional notes (optional)

Please do not include ID numbers, account numbers or financial documents. Your counsellor will explain what is needed.