East Oakland Susu Lending Circle Program Participant Pre-Survey Question Title * 1. What is your first name? OK Question Title * 2. What is your last name? OK Question Title * 3. What is your personal email address? OK Question Title * 4. What is your zip code? OK Question Title * 5. What is your age? 18 to 24 25 to 34 35 to 44 45 to 54 55 to 64 65 to 74 75 or older OK Question Title * 6. What is your gender? Female Male Non-Binary Transgender OK Question Title * 7. What is your ethnicity? (Please select all that apply.) American Indian or Alaskan Native Asian or Pacific Islander Black or African American Hispanic or Latino White / Caucasian Prefer not to answer Other (please specify) OK Question Title * 8. How many children are you parent or guardian for and live in your household (aged 17 or younger only)? None 1 2 3 4 More than 4 OK Question Title * 9. Which of the following categories best describes your employment status? Full-Time or More Part-Time In School Working or Not Self-Employed Unemployed Other (please specify) OK Question Title * 10. What is your income level? Below $30K $30K - $60K $61K - $90K Above $90K OK Question Title * 11. Please indicate your need of financial assistance for travel and/or legal documentation? (Note: We have limited funds to offer, so please only indicate if you are sincerely financially vulnerable.) Public Transit Day Pass Gas Valid government-issued identification (Driver's license, passport, state ID, state consulate ID) Bank Account (up to $25 set up fee) None OK Question Title * 12. Have you ever participated in a lending circle before? No Yes OK Question Title * 13. What is your current credit status? No score or report Less than 580 581 to 619 620 to 719 720 or Better Not sure OK Question Title * 14. What is your primary savings goal? Better Quality of Life Business Development Debt Management OK Question Title * 15. Do you have a personal budget? No Yes OK Question Title * 16. Have you used a pawn shop or payday loan service in the past 3 months? No Yes OK Question Title * 17. During the last 6 months, was there a time when (you and your family) were not able to pay your: Yes No Rent/Mortgage Rent/Mortgage Yes Rent/Mortgage No Bills/Utilities Bills/Utilities Yes Bills/Utilities No Food/Basic needs Food/Basic needs Yes Food/Basic needs No OK Question Title * 18. Which of the following comes closest to your financial situation over the last 6 months? I spend a lot more than I make I spend a little more than I make I spend about as much as I make I make a little more than I spend I make a lot more than I spend I don't know OK Question Title * 19. Financial Wellness Not at all A little Somewhat A lot Very much How much do you know about managing your finances/money (budget, checking and savings)? How much do you know about managing your finances/money (budget, checking and savings)? Not at all How much do you know about managing your finances/money (budget, checking and savings)? A little How much do you know about managing your finances/money (budget, checking and savings)? Somewhat How much do you know about managing your finances/money (budget, checking and savings)? A lot How much do you know about managing your finances/money (budget, checking and savings)? Very much How useful are financial institutions to you (banks,credit unions)? How useful are financial institutions to you (banks,credit unions)? Not at all How useful are financial institutions to you (banks,credit unions)? A little How useful are financial institutions to you (banks,credit unions)? Somewhat How useful are financial institutions to you (banks,credit unions)? A lot How useful are financial institutions to you (banks,credit unions)? Very much Would an emergency put you in a hard financial situation for the month (Flat tire,sick time etc)? Would an emergency put you in a hard financial situation for the month (Flat tire,sick time etc)? Not at all Would an emergency put you in a hard financial situation for the month (Flat tire,sick time etc)? A little Would an emergency put you in a hard financial situation for the month (Flat tire,sick time etc)? Somewhat Would an emergency put you in a hard financial situation for the month (Flat tire,sick time etc)? A lot Would an emergency put you in a hard financial situation for the month (Flat tire,sick time etc)? Very much OK Question Title * 20. How confident are you in Not confident A little confident Somewhat confident Confident Very confident Setting short and long term financial goals? Setting short and long term financial goals? Not confident Setting short and long term financial goals? A little confident Setting short and long term financial goals? Somewhat confident Setting short and long term financial goals? Confident Setting short and long term financial goals? Very confident Saving money regularly? Saving money regularly? Not confident Saving money regularly? A little confident Saving money regularly? Somewhat confident Saving money regularly? Confident Saving money regularly? Very confident Using a spending plan to track your income (money coming in) and expenses (money going out)? Using a spending plan to track your income (money coming in) and expenses (money going out)? Not confident Using a spending plan to track your income (money coming in) and expenses (money going out)? A little confident Using a spending plan to track your income (money coming in) and expenses (money going out)? Somewhat confident Using a spending plan to track your income (money coming in) and expenses (money going out)? Confident Using a spending plan to track your income (money coming in) and expenses (money going out)? Very confident Paying bills on time? Paying bills on time? Not confident Paying bills on time? A little confident Paying bills on time? Somewhat confident Paying bills on time? Confident Paying bills on time? Very confident Creating a personal budget? Creating a personal budget? Not confident Creating a personal budget? A little confident Creating a personal budget? Somewhat confident Creating a personal budget? Confident Creating a personal budget? Very confident OK Question Title * 21. What are your expectations of the program? Build confidence in financial decision making Build or restore credit Build trust with community residents Develop personal financial management skills Other (please specify) OK DONE
