Financial Loʻi: Pre-Assessment

자바스크립트가 브라우저에서 활성화되어 있지 않아 이 파일을 열 수 없습니다. 활성화하고 새로고침하세요.

Mahalo for joining Financial Loʻi and for taking this pre-assessment survey! We will use this survey along with another that we will send you after the program to track your progress. You will also receive an email copy of your answers after you submit your survey so you can see your progress as well.

Please know that your information is always kept confidential. Only Financial Loʻi staff and the WEDC evaluator will have access to this information. We will use it to inform coaching sessions and how we deliver the program, as well as summarize program results for WEDC and those who support and fund this program.

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First Name *

Last Name *

Phone Number *

Please tell us if you already have and use the following: *

Yes

Budget

Checking Account

Savings Account

How much savings do you have? *

Less than $100

$100 - $500

$500 - $1,000

$1,000 - $2,000

More than $2,000

I don't have any savings

What type of debt do you have? (Check all the apply) *

Credit card

Student loan

Auto loan

Line of credit

Medical

No Debt

기타:

필수

How much debt do you have? (Not including mortgage) *

I have no debt

Less than $2,000

$2,001 - 5,000

$5,001 - $ 25,000

$10,001 - $20,000

$20,001 - $40,000

$40,001 - $60,000

$60,001 - $80,000

$80,001 - $100,000

More than $100,000

Have you made a plan to eliminate your debt? *

Yes

Not Applicable

What is your current monthly household income? (net pay) *

Less than $1,000

$1,000 - $2,000

$2,000 - $5,000

$5,000 - $10,000

More than $10,000

Do you own a business? *

Yes

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