Weekly Expenses:

Amount you spend weekly for dining-out

$

Amount you spend weekly on vending machine purchases

$

Amount you spend weekly for coffee orders

$

Amount you spend weekly on tobacco products

$

Amount you spend weekly on alcohol (at home and out)

$

Monthly Expenses:

Amount you spend monthly on cable or satellite TV

$

Amount you spend monthly for home maid services

$

Amount you spend monthly for lawn maintenance services

$

Amount you spend monthly on magazine subscriptions, books, and other reading materials

$

Amount you spend monthly on social website memberships

$

Amount you spend monthly for cell phone text messages, over-minute fees, apps/downloads

$

What is your total income Per Month?

Do you take advantage of at least $25.00 monthly in grocery coupons?

  Yes No