National Survey Form

1
Country of Residence* This field is required.
2
Your Age Group* This field is required.
18-24
25-34
35-44
45-54
55-64
65-70
70+
3
Gender* This field is required.
Male
Female
Prefer not to say
Non-Binary / Third Gender
4
Education Level* This field is required.
High School or less
Some College
Associate's Degree
Bachelor's Degree
Master's Degree
Doctorate or Professional Degree
5
Employment Status* This field is required.
Employed Full-time
Employed Part-time
Seld-employed
Unemployed
Retired
Student
6
Household Income Annual* This field is required.
Less than $25,000
$25,000 - $49,000
$50,000 - $74,999
$75,000 - $99,000
$100,000 - $149,999
$150,000
7
How often do you use social media?* This field is required.
Several times a day
Once a day
Afew times a week
Oncea week
Rarely
Never
8
Which social media platforms do you use regularly? (Select all that apply)* This field is required.
Facebook
Twitter
Instagram
LinkedIn
Snapchat
TikTok
9
How often do you update your passwords?* This field is required.
Every month
Every 3-6 months
Once a year
Rarely
10
Do you use multi-factor authentication (MFA) for your online accounts?* This field is required.
Yes, for all accounts
Yes, for some accounts
No, but I am aware of it
No, and I am not aware of it
11
How would you rate the current economic condition of the country?* This field is required.
Excellent
Good
Fair
Poor
Very Poor
12
How has your personal financial situation changed in the past year?* This field is required.
Improved significantly
Improved somewhat
Stayed the same
Worsened somewhat
Worsened significantly
13
What is your main source of income?* This field is required.
Employed
Self-employment
Investments
Government assistance
14
Have you experienced any of the following financial difficulties in the past year? (Select all that apply)* This field is required.
Job loss
Reduced income
Difficulty paying bills
Increased debt
None of the above
15
How confident are you in your ability to handle an unexpected financial emergency?* This field is required.
Very confident
Some what confident
Not confident
Not sure
16
How would you rate the overall safety of your community?* This field is required.
Very safe
Some what safe
Neither safe nor unsafe
Some what unsafe
Very unsafe
17
How often do you see police patrolling your neighborhood?* This field is required.
Daily
Weekly
Monthly
Rarely
Never
18
How effective do you think the police are in dealing with crime in your community?* This field is required.
Very effective
Some what effective
Not effective
Not sure
19
How concerned are you about becoming a victim of crime in the next year?* This field is required.
Very concerned
Some what concerned
Not concerned
Not sure
20
How satisfied are you with the availability and quality of public services in your community (e.g., healthcare, education, transportation)?* This field is required.
Very satisfied
Satisfied
Neutral
Dissatisfied
Very dissatisfied
21
Thanks for taking the survey. Your answers will help us understand the economy and crime and lead efforts to promote community safety and well-being. Enter your name* This field is required.
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