CFPB Toolkits: Train-the-Trainer Pre-Survey Savings, Debt, Credit, Behind on Bills Question Title * 1. Date of Training Date / Time Date Question Title * 2. Logistical Information Name: Organization: Question Title * 3. My knowledge of financial empowerment is: Very Strong Strong Adequate Weak I have no knowledge regarding financial empowerment Question Title * 4. I believe financial empowerment is a relevant and important concept of helping my clients achieve success Strongly agree Agree Neither agree nor disagree Disagree Strongly disagree Question Title * 5. Please indicate the one best statement that describes your confidence level in talking with the people you serve about being behind on their bills Extremely confident Very confident Somewhat confident Not so confident Not at all confident Question Title * 6. Please indicate the one best statement that describes your confidence level in talking with the people you serve about credit Extremely confident Very confident Somewhat confident Not so confident Not at all confident Question Title * 7. Please indicate the one best statement that describes your confidence level in talking with the people you serve about saving Extremely confident Very confident Somewhat confident Not so confident Not at all confident Question Title * 8. Please indicate the one best statement that describes your confidence level in talking with the people you serve about dealing with debt. Extremely confident Very confident Somewhat confident Not so confident Not at all confident Question Title * 9. Which area best represents your current field of work Homelessness Prevention Homelessness Transition/Shelter Health Workforce Development Food/Nutrition Housing Financial Assistance Area Ministries Mental Health Prefer Not to Say Other (please specify) Question Title * 10. Please indicate all the activities that you regularly do or discuss with the people you serve Create a Budget Make a referral for financial counseling Run a credit report Evaluate check-cashing or short-term loan options Tax preparation services or assistance Set financial goals Assist with job search Assist with getting or keeping public benefits None of these activities Prefer not to say Other (please specify) Question Title * 11. Please share how many years of case management or direct-service staff experience you have None or not applicable Less than 1 1-2 3-5 5-9 10-14 15-20 Over 20 Done