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Service Information Packet

Please complete the following Pre-Counseling Survey so we can better serve your needs. Upon completion, you will receive our downloadable intake forms for service. Please fill these out and return them either by email or post.  Thank you.

                                                                                                                                          (all information is confidential)

Pre-Counseling Survey
Age Range
I/We keep track of my/our INCOME:
I/We pay our BILLS on time:
I/We SAVE money after paying regular expenses:
I/We keep track of our SPENDING:
I/We follow a SPENDING PLAN that works for me/us:
How confident do you feel about being able to manage your financil issues on your own right now? 1 being low and 10 being high
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