Counseling  Check-up

Please complete the following Post-Counseling Survey. Upon completion and receipt of survey, your name will be added to our drawing for a gift card for your participation.  Thank you.

                                                                                                                                          (all information is confidential)

Post - 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:
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How confident do you feel about being able to manage your finances after meeting with the counselor? 1 being low and 10 being high