Right now, the form looks like:
[url removed, login to view]
We would like:
1) The top part of the form to have "Personal Loans" and "Student Loan Debt" removed
2) The bottom of form, instead of the slider, have check boxes, starting at $5k-$9,999 and then $10k-$19,999 and so on up to $100k and then $100k+
like you see on [url removed, login to view]
3) When submitting from slider on home page to this form, the checkbox should be checked for most appropriate debt amount (e.g. if someone goes to page [url removed, login to view] , the $50k debt range would be automatically checked
4) Change title to "Finish Getting Your FREE Confidential Savings Estimate"
Please confirm you can start today and finish today.