Please enable JavaScript in your browser to complete this form.First Name *PhoneEmailPreferred Contact Method *Phone CallSMS TextEmailComment or Message *Household Monthly IncomeYourself and a spouseUnsecured Debt *Credit cards, line for credit, overdraft, payday loans, income taxes owing. Exclude mortgages, car loans and secured debtHousehold size *Include yourself, spouse and dependent childrenHave you sent an evaluation form? *Yes, I emailed it to info@counsellors.orgYes, I used the forms pageno, but I will shortlyI just have a few questionsSubmit Notice: JavaScript is required for this content.