Share your experience with high-cost debt or debt collections

Whether you are a consumer, financial coach or other service provider, family member, community member, member of the clergy, or other concerned Hoosier, we'd like to hear from you.

Sharing your perspective or personal story helps us understand and illustrate the need for reform and develop better solutions to families' budget shortfalls.

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* 1. What Kind(s) of Financial Products are You Writing About?

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* 2. What do you want us to know about the type of financial product(s) you checked above?

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* 3. What do you see as solutions to any of the problems you've highlighted?

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* 4. First and Last Name

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* 5. Zip Code

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* 6. Email

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* 7. I hereby grant to Indiana Institute for Working Families, its representatives, & employees the right to use this verbal/written statements in connection with the organization’s educational and advocacy efforts.

I authorize Indiana Institute for Working Families, its assigns and transferees to copyright, use, and publish the same in print and/or electronically.

I agree that Indiana Institute for Working Families may use such content for any lawful purpose, including such purposes as publicity, illustration, advocacy, and web content.

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* 8. Would you be willing to participate in a follow up interview?

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* 9. I want to do more!

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