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PSLF Peace of Mind New Employee Module Survey
1.
State
State/Province
AL Alabama
AK Alaska
AS American Samoa
AZ Arizona
AR Arkansas
CA California
CO Colorado
CT Connecticut
DE Delaware
DC District of Columbia
FM Federated States of Micronesia
FL Florida
GA Georgia
GU Guam
HI Hawaii
ID Idaho
IL Illinois
IN Indiana
IA Iowa
KS Kansas
KY Kentucky
LA Louisiana
ME Maine
MH Marshall Islands
MD Maryland
MA Massachusetts
MI Michigan
MN Minnesota
MS Mississippi
MO Missouri
MT Montana
NE Nebraska
NV Nevada
NH New Hampshire
NJ New Jersey
NM New Mexico
NY New York
NC North Carolina
ND North Dakota
MP Northern Mariana Islands
OH Ohio
OK Oklahoma
OR Oregon
PW Palau
PA Pennsylvania
PR Puerto Rico
RI Rhode Island
SC South Carolina
SD South Dakota
TN Tennessee
TX Texas
UT Utah
VT Vermont
VI Virgin Islands
VA Virginia
WA Washington
WV West Virginia
WI Wisconsin
WY Wyoming
2.
Current Employer
3.
Approximately how much do you owe in student loans?
A. Less than $10,000
B. $10,000-29,999
C. $30,000-59,999
D. $60,000-99,999
E. $100,000-299,999
F. $300,000 or more
4.
Have you already taken steps to pursue PSLF?
A. Yes
B. No
5.
Have you ever been rejected for PSLF?
A. Yes
B. No
6.
Do your loans include Parent PLUS Loans?
A. Yes
B. No
7.
Were you aware of the Temporary Extension for PSLF before completing this session?
A. Yes
B. No
8.
What action do you plan to take after completing this session?
A. Apply for PSLF
B. Submit an Employment Certification Form
C. Apply for an income-driven repayment plan
D. Consolidate my loans
E. Nothing, I was already on the right track
F. Nothing, I discovered PSLF is not right for me
G. Other
9.
If the action you plan to take is "Other," please explain:
10.
Please rate how helpful this session was toward your understanding of the Public Service Loan Forgiveness Program. Ranging from Not at all helpful (1) to Extremely helpful (5).
1
5
Clear
11.
What is your age?
Under 18
18-24
25-34
35-44
45-54
55-64
65+
12.
What is your ethnicity?
White
Black or African American
Hispanic or Latino
Asian or Asian American
American Indian or Alaska Native
Native Hawaiian or other Pacific Islander
Another race
Prefer not to say