2016 Regional EITC Free Tax Preparation Site Survey Your participation in this survey helps us improve our program! Your participation is completely voluntary, and you do not have to answer any questions that you do not want to answer. Your individual answers will not be shared with others. Thank you for taking the time to complete the survey. FILL OUT 1 PER PERSON. Question Title * 1. SITE LOCATION American Red Cross CHCCAA Elder High School Harrison Community Center The Healing Center Houston Conference Center St John Church of Christ Madisonville Community Center Ohio Means Jobs - Cincinnati Ohio Means Jobs - Butler County Milvale Community Center North Avondale Community Center Northminster Presbyterian Church Northstar Community Church Urban League of Greater Cincinnati Xavier University Booker T Washington CC SELF - Hamilton SELF - Middletown Center for Great Neighborhoods Centro de Amistad N KY Community Action Commission - Pendleton N KY Community Action Commission - Carroll N KY Community Action Commission - Owen N KY community Action Commission - Gallatin Brighton Center Kentucky Career Center St Pauls Church Center for Employment Training Grant County Career Advancement Center Macy's MCCS IRS Covington Campus Cincinnati State Thomas More Contact Center ChildFocus Dearborn County Clearinghouse Lawrenceburg Community Center Fifth Third Operations Center Santa Maria Financial Opportunity Center University of Cincinnati Law School Gateway Technical & CC University of Cincinnati Law School Roving Site Question Title * 2. How did you find out about us? (Choose 1) Returning from previous year Friend/Family member Agency/Church/School/Employer United Way 211 Flyer/Poster at library or business Radio/Television ad Facebook, Twitter, other social media Email, Website Newspaper ad Bus Ad Question Title * 3. Who prepared your taxes last year? (Choose 1) This site Another free tax site Friend or family member I did my own taxes (paper or tax software) Paid tax preparer (HR Block, Liberty Tax, Jackson Hewitt, etc)* Car dealer or furniture store I did not file last year Other Question Title * 4. *If you paid to have your taxes done last year, approximately how much did you pay? Question Title * 5. If you receive a refund this year how are you planning to use it? (check top 3 that apply) Utility bills Medical expenses/bills Credit card bills/ repay loans Rent/mortgage/housing Child care Groceries Clothes/family gifts Appliances, electronics or furniture New car or car repairs Home repair/improvement Education: tuition, books, student loan Vacation/party Savings/Investment/rainy day fund I don't expect a refund Question Title * 6. If you receive a refund this year will you save some of it for later? Yes, bank account Yes, savings bond Yes, other Not this year Question Title * 7. Would you be interested in learning to do your own taxes? Yes No Question Title * 8. Would you be interested in financial education classes, workshops or coaching on credit, budgeting, savings, etc.? Yes No Question Title * 9. What is your employment status? (person completing survey) Employed, Full time Employed, Part time Employed, Temp or Seasonal Not employed Self Employed Retired Question Title * 10. Which of the following financial services have you used in the last 12 months (check all that apply) Bank/Saving/Checking account Retirement/Investment account Credit Card/Debit Card Pre-paid card / Gift card Money Order Car Title Loan Rent to Own Pay Day Loan/Cash Advance Refund anticipation loan Pawn Shop Student loan Housing line of credit Bank loan Bankruptcy Question Title * 11. What is your gender? (person completing survey) Female Male Question Title * 12. Age? (person completing survey) Question Title * 13. Race/Ethnicity? (check one) (person completing survey) African-American Asian Caucasian Native American/Alaskan native Native Hawaiian/Other Pacific Islander Multi-racial Other Question Title * 14. Are you Hispanic? Yes No Question Title * 15. Do you or a member of your household have a disability? Yes No Question Title * 16. Did you or a member of your household serve in the military (active or past)? Yes No Question Title * 17. What is your education level? (person completing survey) Less than High School High School or GED Some College / Technical School Two Year College Degree Four Year College Degree Graduate School Question Title * 18. What is your current household size? (number of family members on your return) Question Title * 19. What is your current combined household income? $0 - $9,999 $10,000 - $19,999 $20,000 - $29,999 $30,000 - $39,999 $40,000 - $49,999 $50,000 - $59,999 $60,000 - $69,000 $70,000+ THANK YOU FOR COMPLETING THIS SURVEY...IT HELPS US TO BETTER SERVE YOU!!! Done