Survey on Household Debt
Arkansas Community Organizations and the Arkansas Community Institute are partners working to help people overcome barriers that prevent them from increasing their household wealth. Debt is one of the major barriers to financial well-being in our country.

Some private and public institutions have created policies and practices that take advantage of people struggling to make ends meet. Some examples of these policies and practices are: high interest payday or home mortgage loans, high interest auto loans, rent to own home contracts with no protection for the buyer, high fines and fees from local courts, and debt collection policies at local hospitals.

Your feedback on these issues is valuable and helpful to the community. The information you provide us is confidential.

If you are interested in services that can help you get rid of or manage your debt or want to get involved in our campaign, please give us your contact information at the end of the survey. Your contact information will also be confidential.

This survey is voluntary.

Have you had or do you currently have debts(including court fines and fees)? *
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google.