Economic Empowerment Survey
Please complete this survey so that we may learn more about you and design courses, workshops, seminars, and more suited for your needs.
18 - 29
30 - 39
40 - 49
50 - 59
60 or above
Annual Income Level
$0 - $24,999
$25,000 - $49,999
$50,000 - $74,999
$75,000 - $99,999
$100,000 - $149,999
$150,000 or more
Living With Parents
Unemployed temporarily or permanently due to disability
Do you have a household budget?
Over the past year, have you or your household experienced economic hardships? If yes, select all that apply.
Reduction in Income
Death of a Breadwinner
Have you set aside emergency or rainy day funds to cover at least 3 months' expenses in case of sickness, job loss, economic downturn, or other emergencies?
If you lose your main source of income, how would you cover expense for 3 months?
Set aside emergency fund
Cash or credit cards
Borrow or sell assets
Could not cover expenses
Do you have a life insurance policy?
Do you have a will?
What is your current affiliation with a bank? Check all that apply.
In the past 12 months, have you used any of these resources? Check all that apply.
Check Cashing Service
Pawn Shop Loan
Auto Title Loan
How are you managing your credit card payments?
Paid in full monthly
Carry over balance and incur interest charges
Paid only minimum payments
Late or missed payments
Are you currently planning or have saved for retirement?
What type of retirement savings do you have. Check all that apply.
401(K) or 403(B); Employer matched
401(K) or 403(B); Individual contribution only
IRA (Traditional or Roth)
What entities do you currently give charitable contributions to?
Your home church
I do not give
Should be Empty: