What is the total value of your debt?

• Less than £5,000
• £5,000 to £20,000
• More than £20,000

Which of the following debts do you have?

• Late mortgage payments
• Credit cards (including store cards)
• Payday or short term loans
• County Court Judgements (CCJs)
• Overdue Council Tax
• Overdue bills (eg utility, mobile etc)
• Other loans (including from family and friends)
• Benefits overpayments

Now onto your assets. Are you a homeowner?

• Yes
• No

Do you own a car?

• No
• Yes - its value is more than £1000
• Yes - its value is less than £1000

What is the total value of all your other assets?

• Less than £1,000
• £1,000 to £5,000
• More than £5,000

How much money do have left each month after paying your bills and living expenses?

• Less than £50
• Between £50 and £100
• Between £100 and £200
• More than £200

Now, just a little bit about yourself. Where do you live?

• England
• Scotland
• Wales
• Northern Ireland
• Outside the UK

What is your employment status?

• Employed Full-time
• Employed Part-time
• Self Employed
• Unemployed
• Student
• Retired

And finally, your contact details

Which of the following debts do you have?

• Late mortgage payments
• Credit cards (including store cards)
• Payday or short term loans
• County Court Judgements (CCJs)
• Overdue Council Tax
• Overdue bills (eg utility, mobile etc)
• Other loans (including from family and friends)
• Benefits overpayments

Now onto your assets. Are you a homeowner?

• Yes
• No

Do you own a car?

• No
• Yes - its value is more than £1000
• Yes - its value is less than £1000

What is the total value of all your other assets?

• Less than £1,000
• £1,000 to £5,000
• More than £5,000

How much money do have left each month after paying your bills and living expenses?

• Less than £50
• Between £50 and £100
• Between £100 and £200
• More than £200

Now, just a little bit about yourself. Where do you live?

• England
• Scotland
• Wales
• Northern Ireland
• Outside the UK

What is your employment status?

• Employed Full-time
• Employed Part-time
• Self Employed
• Unemployed
• Student
• Retired

And finally, your contact details

Which of the following debts do you have?

• Late mortgage payments
• Credit cards (including store cards)
• Payday or short term loans
• County Court Judgements (CCJs)
• Overdue Council Tax
• Overdue bills (eg utility, mobile etc)
• Other loans (including from family and friends)
• Benefits overpayments

Now onto your assets. Are you a homeowner?

• Yes
• No

Do you own a car?

• No
• Yes - its value is more than £1000
• Yes - its value is less than £1000

What is the total value of all your other assets?

• Less than £1,000
• £1,000 to £5,000
• More than £5,000

How much money do have left each month after paying your bills and living expenses?

• Less than £50
• Between £50 and £100
• Between £100 and £200
• More than £200

Now, just a little bit about yourself. Where do you live?

• England
• Scotland
• Wales
• Northern Ireland
• Outside the UK

What is your employment status?

• Employed Full-time
• Employed Part-time
• Self Employed
• Unemployed
• Student
• Retired

And finally, your contact details