What is your current physical address?

What type of debt do you have and how much for each type (i.e., taxes, credit cards, medical bills, car loans, mortgages, etc.)?

How many people are in your household?

What is the annual household income?

Have you filed bankruptcy before, and if so, what year?

Are you facing foreclosure or have a garnishment?

What property do you own that you fear would be lost if you file bankruptcy?

Are you prepared to hire a law firm to help you resolve your financial situation?

Please explain your legal situation.