Thank you for participating!


Please complete the following survey

Please complete this survey if food insecurity is suspected or if reducing the client's food budget was recommended. Counselors should ask the client to respond to this survey during their session. Counselors should ask the questions and enter responses. Only complete surveys will be accepted and reimbursed.
What date did the session occur?
MM slash DD slash YYYY
Client must reside in Florida or Texas
client must be less than 50% AMI
Please enter a number from 50 to 125.
Select the number of individuals living in client's residence including client.

Sources of Debt and Amount Owed

Enter the amount of debt owed in all applicable field(s). Enter 0.00 if there is no debt of that type.
Check the following box if none of these types of debt are held

Seeking help and financial impact

Answer the following questions regarding seeking credit counseling and impacts to monthly finances.
Which of the following benefits do you currently use? (Select all that apply)(Required)

Who We Are

Founded in 1951, the National Foundation for Credit Counseling is the oldest nonprofit financial counseling organization with a mission to help all Americans gain control over their finances. We support a network of committed member agencies to deliver high quality, practical financial education and counseling services.rnrn1,500+ NFCC certified credit counselors serve all U.S. states and territories, empowering millions of consumers to take charge of their finances. NFCC certified credit counselors offer one-on-one financial reviews that address credit card debt, mortgages and rentals, housing decisions, and money management.