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Sample Student Loan & Financial Health Survey
1.
Do you currently have student loan debt?
Yes
No
2.
What types of student loans do you have? (Select all that apply)
Federal
Private
Parent Plus
Graduate Plus
Consolidated
Other (please specify)
3.
What is your approximate total student loan balance?
Under $10,000
$10,000 – $30,000
$30,000 – $60,000
$60,000 – $100,000
Over $100,000
Prefer not to say
4.
How much do your monthly student loan payments impact your ability to save or budget?
No impact
Slight impact
Moderate impact
Significant impact
It makes it very difficult to save or manage expenses
5.
Are student loans affecting any of the following? (Select all that apply)
My ability to contribute to retirement
My ability to save for emergencies
My mental or emotional well-being
My ability to buy a home
My ability to save for my children’s education
None of the above
6.
Have you attempted to enroll in income-driven repayment (IDR) or forgiveness programs?
Yes, I’m enrolled
Yes, but the process was confusing or difficult
No, but I’d like to
No, I was unaware these programs exist
7.
If you have children or grandchildren, are you contributing to a 529 college savings plan?
Yes
No
N/a
8.
Do you feel that you have adequate savings to cover an unexpected expense? (i.e., job loss, car or home repair)?
Yes
No
I have some savings but not enough
9.
If your employer offered a benefit that provided assistance with student loan repayment, or 529 college or Emergency Savings funding, would you be interested in participating?
Yes, significantly
Yes, somewhat
Not Really
10.
Which type of benefit would be most valuable to you? (Select all that apply)
Monthly employer student-loan contributions (tax-free)
One-on-one loan Student Loan guidance (IDR, forgiveness, PSLF, repayment strategy)
529 College savings benefit
Help funding your emergency savings
Other (please specify)
11.
What additional resources or benefits would improve your financial wellbeing?