Financial Crisis Self-Assessment Quiz

Full Name *

Email *

Phone *

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Income and Expenses

Understanding your financial foundation is the first step in assessing your overall financial health. Please provide information about your income, expenses, and debt to give us a clearer picture of your financial situation.

What is your total monthly income from all sources? *

This includes all sources like salary, freelance work, rental income, etc.

What are your total monthly essential expenses (rent, food, utilities)? *

These are non-negotiable expenses necessary for living, such as housing, utilities, car payment, and groceries.

Debt and Payment History

Your history with debt management plays a crucial role in your financial stability. Please share details about your unsecured debt, debt-to-income ratio, and payment habits.

How much unsecured debt (credit cards, personal loans) do you have? *

Debt that is not backed by collateral, making it harder to manage if income is unstable.

How many times have you missed or been late on payments in the last year? *

Are you using credit cards or loans to pay for essential expenses? *

Yes

Future Financial Outlook

Anticipating future changes in your financial situation can help in planning and decision-making. Let us know if you're expecting any significant changes or if you have any safety nets in place.

How frequently are you contacted by creditors regarding past due payments? *

Daily

Weekly

Monthly

Never

Do you have any savings or emergency funds? *

Yes

Are you aware of which of your assets are protected under bankruptcy laws? *

Yes

Personal and Emotional Impact

Financial issues can affect various aspects of your life, including your emotional well-being and relationships. Please provide insights into how your financial situation has impacted you personally.

How often do you feel overwhelmed or stressed about your finances? *

Daily

Weekly

Monthly

Never

How have your financial issues affected your personal relationships? *

Do you have a support system to help you through financial difficulties? *

Yes

Somewhat

Describe the impact of your financial issues on your daily life. *

How confident are you in your ability to resolve your financial issues without professional help? *

Confident

Not Confident