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Credit Card Debt Survey

 

Thank you very much for taking the time to fill out Demos' questionnaire on credit card debt. Demos is a non-profit, non-partisan research organization working to focus national attention on industry practices and improve economic stability for individuals and families across the country. By telling your story, you are helping to create critical change in this area. Demos will keep your information confidential according to your preferences listed at the end of the questionnaire.



Please complete the form below or send by mail to:

Myra Batchelder
Demos: A Network for Ideas and Action
220 Fifth Ave., Fifth Floor
New York, NY 10001


If you have any questions, please contact Myra Batchelder at 212.389.1408 or email debtstories@demo-usa.org





Please describe the particular circumstances or events that led to your current or past credit card debt situation.


What is the highest interest rate paid on your credit card? Has your interest rate been increased lately due to a late payment or change in your credit profile? If so, please tell us about the change.


Please explain any steps you have taken to get out of debt or plans you have for getting out of debt in the future.


What is the current amount of your total credit card debt?

What is the maximum amount of credit card debt you have held?

How many credit cards do you have today?


How much do you pay each month on your credit cards?
a) Only the minimum ($ amount: )
b) Slightly more than the minimum ($ amount: )
c) Other amount ($ amount: )

Follow up:
May we contact you to follow up with a brief phone interview? If yes, please tell us your phone number.


Are you willing to talk to the media about your experiences with credit card debt?
Yes
No

Please tell us more about yourself:

Name:
Phone:
Email:
City/State:
Age:
Occupation:
Age at which got first credit card:

 
 

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