CASH Questionnaire 2020 Survey

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* 3. School District

Rochester City School District

Other (please specify)

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* 4. Do you have income from states other than NY?

Yes

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* 5. Did you pay child support through the support collection unit for at least 1/2 of the year?

Yes

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* 6. Did you or your spouse volunteer as a firefighter or ambulance worker for the entire year?

Yes

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* 7. Did you visit another tax preparation service THIS YEAR before coming to CASH?

Yes

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* 8. Please check the one that applies to you:

Renter

Renter - Section 8

Renter - Rochester Housing Authority

Homeowner with mortgage

Homeowner without mortgage

Live with family

Live with someone else

Live in a dorm or other group setting

Currently homeless

Other

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* 9. If using direct deposit for your refund, what documentation do you have with your account number?

Check

Bank Info Card

Bank Statement

Previous Tax Return

Cell Phone

N/A - not using direct deposit

Other (please specify)

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* 10. Would you like to save at least $50 of your federal refund and earn a chance to win $100?

Yes

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* 11. Roc Your Refund:
For City Residents with dependent(s): Would you like to commit to saving $200, receive a $25 Wegmans gift card for completing a survey and learn more about the chance* to increase your savings by $50 or up to $500? *Select group of participants chosen at random.

Yes

Current RYR participant

N/A - not a city resident w/dependent(s)

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* 12. Which of the following would you like to know more about? (Check ALL that apply)

Voter Registration

US Census

Food Stamps/SNAP

Emergency Food/List of Food Pantries

Low Cost Rental Properties

Buying a Home

Behind in mortgage and need help

Remodeling Loans and Grants

Weatherization & Energy Programs

Emergency Utility Assistance - refer to 211

Emergency Rent Assistance - refer to 211

IRS and/or NYS tax issues

Free Credit Report

Budgeting/Fixing Credit/Reducing Debt

Student Loan Repayment Assistance

Getting an HSE (formerly GED)

Job Training and/or Information

Small Business/Entrepreneurship Resources

Affordable Health Options

Free Health Screenings

Not Interested in any of the above

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* 13. Please select the one that best describes you:

African American or Black

Caucasian or White

Hispanic or Latino

Asian

Native American or Alaskan Native

Native Hawaiian / Other Pacific Islander

Two or more race/ethnicities

Other race/ethnicity (not listed)

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* 14. Household Employment Information:

One or more adults working full time

One or more adults working part time; no adults working full time

No adults working; at least one adult is retired

All adults are unemployed

(left blank)

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* 15. How did you get here today?

Drove/Got a Ride

Bus

Lift Line/Medical Motors

Other

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* 16. Non City Residents: Town/Village

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* 17. Would you like to join our email list?

Yes

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* 18. Would you like to be a CASH volunteer?

Yes - I can volunteer this year (now - April 18, 2020)

Yes - I can volunteer next year (Jan-Apr 2021

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* 19. How would you like to provide input on improving CASH Services?

Not Interested

Online Survey

Focus Group

CASH Client Advisory Committee

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* 20. CASH will begin offering tax education workshops. Please check the topic(s) that interest you.

Dependents

Tax Credits

Filing Status

Balance due to IRS or NYS

Self Employment

Not applicable

Other (please specify)

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* 21. If English is not your first language, would you be interested in completing a short survey to share information about your needs accessing services, programs, etc

No or N/A

Yes

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* 1. Contact Information

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* 2. County

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* 3. School District

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* 4. Do you have income from states other than NY?

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* 5. Did you pay child support through the support collection unit for at least 1/2 of the year?

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* 6. Did you or your spouse volunteer as a firefighter or ambulance worker for the entire year?

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* 7. Did you visit another tax preparation service THIS YEAR before coming to CASH?

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* 8. Please check the one that applies to you:

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* 9. If using direct deposit for your refund, what documentation do you have with your account number?

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* 10. Would you like to save at least $50 of your federal refund and earn a chance to win $100?

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* 11. Roc Your Refund:For City Residents with dependent(s): Would you like to commit to saving $200, receive a $25 Wegmans gift card for completing a survey and learn more about the chance* to increase your savings by $50 or up to $500? *Select group of participants chosen at random.

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* 12. Which of the following would you like to know more about? (Check ALL that apply)

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* 13. Please select the one that best describes you:

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* 14. Household Employment Information:

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* 15. How did you get here today?

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* 16. Non City Residents: Town/Village

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* 17. Would you like to join our email list?

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* 18. Would you like to be a CASH volunteer?

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* 19. How would you like to provide input on improving CASH Services?

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* 20. CASH will begin offering tax education workshops. Please check the topic(s) that interest you.

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* 21. If English is not your first language, would you be interested in completing a short survey to share information about your needs accessing services, programs, etc

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* 22. Are you having difficulty with any of the following bills?

* 11. Roc Your Refund:
For City Residents with dependent(s): Would you like to commit to saving $200, receive a $25 Wegmans gift card for completing a survey and learn more about the chance* to increase your savings by $50 or up to $500? *Select group of participants chosen at random.