Survey

Please note, this form no longer works. To go to the form that works, visit www.creditcardaddiction.com.

Thank you for taking time to complete this survey. Responses to this survey may be used in future articles and books. Your confidentiality is guaranteed. Unless you sign a release of information, all identifying information will be altered to protect your privacy.

Please do not hit the return key while completing the survey use the tab button or your mouse instead.

1)  What were your thoughts, feelings, reactions when you got your first credit card?

2)  What are your thoughts/feelings about your current level of debt?

3)  Are you doing anything to change your level of debt? If so, what?

4)  What are some of the common thoughts you have about your debt?

5) What are some of the things you say to yourself to rationalize over-spending?

6) Did you ever buy something on credit that you probably wouldn’t have bought with cash?
Yes No

7) Give examples of some of the purchases you regret


8) How many times have you maxed out a credit card


9) Have you ever had to use one credit card to make the payment on another card? Yes No


10) Do you typically read your monthly credit card statements?
Yes No

11) Any additional comments, thoughts, ideas?

Name:     (Optional)


Email:     (Optional)


Age:      


Sex:      Female Male


Marital Status:   


Indicate Highest Level of Education Attained:

           


Can I contact you if I have further questions? Yes No

If so, please provide the best way to contact you and the best time. Thank you.

                           

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Sheri Zampelli
Endless Possibilities
562-305-3434
sheri@sabotagetosuccess.com

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