CFPB Employer Savings Survey Final
Instructions for survey administrators
Using the Start Small, Save Up Workforce Model Questionnaire
These instructions are for the survey administrator. DO NOT include these instructions when you administer the survey to participants.
Be sure to include a privacy notice and the PRA statement at the beginning of the survey. An example Privacy statement is on Page 2 of this document, as well as the required PRA language.
The survey can be administered more than once at your organization to examine trends over time.
If administering more than once, it’s ideal to link responses from the same participant.
Suggested questions 14 and 15 are one way of identifying employees in a way that protects their anonymity. You should exclude these questions unless you plan to administer the survey more than once for the purposes of tracking responses over time.
OMB Control #3170-XXXX
Expires: XX/XX/20XX
Start Small, Save Up Workforce Questionnaire
Example Privacy Notice
Privacy
Notice
The
Bureau is conducting a survey of federal employees as part of the
Start Small, Save Up initiative to help us understand savings
behavior and financial well-being in our workplace.
This
is an anonymous survey. A follow up survey will be conducted. In
order to connect survey response while remaining anonymous, we are
asking you to include the state you lived in first and the last four
digits of your personal phone number.
You will also be
given the option to send an email with your CFPB email account if you
choose to participate in the survey in order to be included in a
raffle.
Participation in this survey is voluntary.
Paperwork Reduction Act Statement
According to the Paperwork Reduction Act of 1995, an agency may not conduct or sponsor, and not withstanding any other provision of law a person is not required to respond to a collection of information unless it displays a valid OMB control number. The OMB control number for this collection is 3170-XXXX. It expires on MM/DD/YYYY. The time required to complete this information collection is estimated to average approximately 15 minutes per response. Comments regarding this collection of information, including the estimated response time, suggestions for improving the usefulness of the information, or suggestions for reducing the burden to respond to this collection should be submitted to Bureau at the Consumer Financial Protection Bureau (Attention: PRA Office), 1700 G Street NW, Washington, DC 20552, or by email to PRA_Comments@cfpb.gov.
Even if you later spent it, did you set aside any money in the past 6 months that could be used for unexpected expenses or emergencies? Include cash, bank or credit union savings and checking accounts, investments, etc. Do NOT include retirement savings.
Yes
No
Think about your saving habits and answer the two questions that follow.
2a. Which of the following statements comes closest to describing your household’s monthly savings habits now?
Don’t save – usually spend more than income
Don’t save – usually spend about as much as income
Save whatever is leftover at the end of the month – no regular plan
Save regularly
2b. Which of the following statements comes closest to describing your household’s monthly savings habits 12 months ago?
Didn’t save – usually spent more than income
Didn’t save – usually spent about as much as income
Saved whatever was leftover at the end of the month – no regular plan
Saved regularly
About how much money do you currently have set aside that could be used for unexpected expenses or emergencies? Include cash, bank or credit union savings and checking accounts, investments, etc. Do NOT include retirement savings.
$0
$1-49
$50-99
$100-249
$250-499
$500-999
$1,000-1,999
$2,000-4,999
$5,000-9,999
$10,000-19,999
$20,000 or more
Do you currently have money automatically transferred to:
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Yes |
No |
I do not have this type of account |
4.1 |
A retirement savings account |
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4.2 |
A non-retirement savings, investment, or money market account |
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4.3 |
A prepaid card savings account |
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4.1a [DISPLAY IF 4.1 = YES] Was it in the last 12 months that you first began to automatically transfer money into the retirement savings account?
Yes, I first began automatically transferring money into this account within the last 12 months.
No, I have been automatically transferring money into this account for longer than 12 months.
4.2a [DISPLAY IF 4.2 = YES] Was it in the last 12 months that you first began to automatically transfer money into the non-retirement savings, investment, or money market account?
Yes, I first began automatically transferring money into this account within the last 12 months.
No, I have been automatically transferring money into this account for longer than 12 months.
4.3a [DISPLAY IF 4.1 = YES] Was it in the last 12 months that you first began to automatically transfer money into the prepaid card savings account?
Yes, I first began automatically transferring money into this account within the last 12 months.
No, I have been automatically transferring money into this account for longer than 12 months.
In the past 6 months, has your household experienced a significant unexpected drop in income?
Yes
No
5a. [DISPLAY IF 5=YES] About how large was the unexpected drop in income?
$_____
5b. [DISPLAY IF 5=YES] When your household experienced the significant unexpected drop in income, did you do any of the following to make ends meet?
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Yes |
No |
5b.1 |
Borrowed money from friends and family |
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5b.2 |
Put it on my credit card and paid it off in full at the next statement |
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5b.3 |
Put it on my credit card and paid it off over time |
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5b.4 |
Spent out of non-retirement savings or investments |
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5b.5 |
Spent out of retirement savings or investments |
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5b.6 |
Postponed or could not pay a bill or other expense |
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5b.7 |
Cut back on non-essential spending |
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5b.8 |
Other |
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5c. [DISPLAY IF 5b.8 = YES]
You said "other" in response to the previous question. Could you please explain what you did to make ends meet?
[TEXT ENTRY]
5d. [DISPLAY IF 5b.4 = YES] How much of your non-retirement savings or investments did you use to cover the unexpected drop in income?
Only a little
Less than half
About half
More than half
All or almost all of it
5e. [DISPLAY IF 5b.4 = YES] After using some or all of your non-retirement savings to cover the unexpected drop in income, were you able to begin rebuilding your savings again?
Yes
No
In the past 6 months, has your household experienced a significant unexpected bill or expense?
Yes
No
6a. [DISPLAY IF 6=YES] About how large was the unexpected bill or expense? If you had more than one unexpected expense, about how large was the most recent unexpected bill or expense?
$_____
6b. [DISPLAY IF 6=YES] When your household experienced the significant unexpected bill or expense, did you do any of the following to make ends meet? If you had more than one unexpected expense, think about the most recent one – did you do any of the following to make ends meet?
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Yes |
No |
6b.1 |
Borrowed money from friends and family |
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6b.2 |
Put it on my credit card and paid it off in full at the next statement |
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6b..3 |
Put it on my credit card and paid it off over time |
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6b. 4 |
Spent out of non-retirement savings or investments |
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6b..5 |
Spent out of retirement savings or investments |
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6b.6 |
Postponed or could not pay a bill or other expense |
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6b.7 |
Cut back on non-essential spending |
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6b.8 |
Other |
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6c. [DISPLAY IF 6b.8 =YES]
You said "other" in response to the previous question. Could you please explain what you did to make ends meet?
[TEXT ENTRY]
6d. [DISPLAY IF 6b.4 = YES] How much of your non-retirement savings or investments did you use to cover the unexpected bill or expense?
Only a little
Less than half
About half
More than half
All or almost all of it
6e. [DISPLAY IF 6b.4 = YES] After using some or all of your non-retirement savings to cover the unexpected bill or expense, were you able to begin rebuilding your savings again?
Yes
No
How well do these statements describe you or your situation?
Q 7.1-7.3 |
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This statement describes my situation... |
Completely |
Very well |
Somewhat |
Very little |
Not at all |
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I am just getting by financially. |
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I am concerned that the money I have or will save won't last. |
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Because of my money situation, I feel like I will never have the things I want in life. |
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How often do these statements below apply to you?
Q 8.1-8.2 |
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This statement applies to me… |
Always |
Often |
Sometimes |
Rarely |
Never |
I have money left over at the end of the month |
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My finances control my life |
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In the last 6 months, did you do any of the following because you were stressed about money?
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Yes |
No |
9.1 |
Laid awake at night |
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9.2 |
Ate more or less than you usually would |
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9.3 |
Felt irritable or angry |
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9.4 |
Experienced upset stomach, heartburn, headaches, or tense muscles |
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9.5 |
Had trouble concentrating |
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9.6 |
Incurred medical costs associated with managing your stress |
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9.7 |
Something else not listed here |
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9.8 |
I’m not stressed about money |
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Use the scale to the right of the items below to indicate the extent to which any of these are a major source of money stress for you.
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This is not relevant to me |
I do not have stress related to this kind of expense. |
I feel a little stress due to this kind of expense |
I feel a moderate amount of stress due to this kind of expense |
I feel a lot of stress due to this kind of expense |
10.1 |
Child care expenses |
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10.2 |
Adult care expenses (hospice, home-care) |
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10.3 |
Student loans or paying for college |
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10.4 |
Mortgage or rent payments |
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10.5 |
Medical bills |
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10.6 |
Debt payments |
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10.7 |
Falling short of retirement goals |
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Please indicate if you or anyone in your household is currently saving in any of the accounts or ways listed below. If so, are you saving regularly (for example, monthly or from each paycheck) or irregularly (adding savings whenever you can), or not at all? Please remember to include automatic savings, contributions that are taken out of your paycheck by your employer, and automatic transfers to investment accounts.
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Saving Regularly |
Saving When Possible |
Not Currently Saving |
Saving Account |
□ |
□ |
□ |
Saving in Checking Account |
□ |
□ |
□ |
Savings in Cash |
□ |
□ |
□ |
Retirement Account (e.g. 401k, 403(b), Thrift Savings Plan (TSP), etc.) |
□ |
□ |
□ |
Prepaid card |
□ |
□ |
□ |
Non-Retirement Investment Account |
□ |
□ |
□ |
Other financial assets or accounts (e.g. money market account, certificate of deposit). Please do not include real estate or housing. |
□ |
□ |
□ |
What is your age?
Younger than 25
25-34
35-44
45-54
55-61
62 and older
What is your annual household income?
Less than $25,000
$25,000 to $44,999
$45,000 to $74,999
$75,000 to $124,999
$125,000 or more
What is the abbreviation of the state you first lived in? Please enter the abbreviation in the space below.
What are the last 4 digits of your personal cell phone number? Please enter the numbers in the space below.
Why are we asking these two questions above? The research team, in order to understand savings over time needs to link your responses today with any responses you might provide in the future. But, we need to do so in a way that means your survey responses will never be linked to YOU. These two questions will provide an anonymous way for us to link answers to answers, without linking answers to people.
Feel free to add any other comments about the survey in the space below. Thanks again. Please do not share any Personally Identifiable Information (PII), including, but not limited to, your name, address, phone number, email address, Social Security number, etc.
File Type | application/vnd.openxmlformats-officedocument.wordprocessingml.document |
Author | Middlewood, Brianna (CFPB) |
File Modified | 0000-00-00 |
File Created | 2021-01-22 |