Adult Program Pilot

OMB Control #1505-0242

Parks Opportunity
Program Survey
The U.S. Department of the Treasury has asked us to evaluate the financial services provided by the
Parks Opportunity Program. To improve this program and provide better services in the future we
need your help. Please complete the survey today and return it in the stamped envelope provided.
Thank you!
1. The first questions are about your experiences looking for employment.
Have you found employment outside of the Parks Opportunity Program?
Yes, full-time or more
Yes, part time
No
2. Since starting the Parks Opportunity Program, how many jobs have you…
0
jobs

1 to 4
jobs

a. …applied for?
b. …interviewed for?
3. The next questions are about financial counseling.
In the last 6 months, have you attended financial counseling?
Yes
No

Go to question 4

3a. How much did counseling help your financial situation?
Not at all
A little
Somewhat
A lot
Extremely
3b. How many counseling sessions did you attend?
One
Two
Three
Four
Five or more

5 to 8
jobs

9 to 12
jobs

13 or more
jobs

4. The next questions are about financial goals.
Do you currently have at least one financial goal?
Yes
No

Go to question 5

4a. What is your main financial goal?

4b. In the next year, how confident are you that you will be able to achieve this financial goal?
Not at all confident
A little confident
Somewhat confident
Very confident
Certain
5. Next we ask about banking.
Do you currently have a checking or savings account?
Yes, both checking and savings account
Yes, checking account
Yes, savings account
No
6. How often do you….

Never

Less than
One or
One or
once a more times more times About
month
a month
a week
every day

a. …make a withdrawal or deposit at a
bank branch?
b. …make a withdrawal or deposit at an
ATM?
c. …use a debit card to make a purchase?
d. …write a check?
e. …transfer money or pay bills online?
f. …use a mobile phone to access a bank
or credit union account?
7. Do you have any frozen savings or checking accounts?
Yes
No
Not sure

8. Thinking about both active accounts and frozen accounts, at how many different banks or credit
unions do you have accounts?  
None
One
Two
Three
More than three
Not sure
9. How much do you trust banks and credit unions?
Not at all
A little
Somewhat
A lot
Extremely
10. The next questions are about direct deposit.
Currently, do you receive your paycheck through direct deposit?
Yes, into a bank account at Banco Popular
Yes, into an account at another bank or credit union, not Banco Popular
Yes, onto a prepaid card
No
Not sure
11. If you are offered direct deposit at your next job, will you sign up for it?
No. Please tell us why:
Yes. Please tell us why:

12. Thinking about direct deposit compared to a paper paycheck, how much harder or easier does it
make each of the following?
Much Somewhat Slightly About the Slightly Somewhat
harder
harder
harder
same
easier
easier
a. Accessing your
money
b. Keeping your money
safe
c. Saving time
d. Saving money
e. Paying bills
f. Managing your
money day-to-day

Much
easier

13. The next questions are about prepaid cards and other financial services.
Have you ever had…
Yes

No

Not sure

Yes

No

Not sure

a. … a prepaid card?
b. …direct deposit of your paycheck to a prepaid card?
c. …direct deposit of your paycheck into a bank account?
14. Have you ever used a prepaid or payment card to receive…
a. …unemployment benefits?
b. …child support?
c. …public benefits, like EBT, for example?
15. Currently, do you have one or more prepaid cards?
Yes
No
Not sure
16. In the last 30 days, how often have you…
0 times

1 time

2 to 3
times

4 or more
times

a. …used a check cashing store?
b. …taken out a pawn shop loan?
c. …received an advance loan from a credit card or
payday lender?
d. …purchased a money order?
e. …paid bills online?
f. …overdrawn a checking or savings account?
g. …paid non-sufficient funds fees, or NSF fees, for
overdrawing a bank account?
h. …borrowed money from friends or family?
17. The next questions are about savings. Please include any savings you may have at home, with
family or friends, at a bank or credit union, in a savings program, or any other place.
Currently, about how much money do you have saved?
$0
$1-$500
$501-$1,000
$1,001-$1,500
$1,501-$2,000
More than $2,000

18. About how often do you contribute to savings?
Weekly
Every two weeks
Monthly
Several times a year
Once per year
Less than once per year
Never, do not contribute to savings
19. The next questions are about managing your money, credit, and debt.
In the last 6 months, have you…
Yes

No

Not sure

a. …signed up for a savings program?
b. …started saving or increased the amount you regularly save?
c. …reduced your total debt?
d. …reviewed your credit report?
e. …created a plan to pay off debt?
f. …worked to establish credit using a product such as a secured
credit card or a credit builder loan?
g. …filed for bankruptcy?
20. How would you rate your understanding of money-management?
Very bad
Poor
Fair
Good
Excellent
21. How would you rate your personal credit record?
Very poor
Poor
Fair
Good
Excellent
Don’t know
22. In the next month, how confident are you that you could come up with $500 if an unexpected need
arose?
Not at all
A little
Somewhat
Very
Extremely

23. In the next month, if you were facing a $500 unexpected expense, how would you get the money
you need?
Borrow or ask for help from friends or family
Take out a pay day loan or pawn something you own
Use savings
Work more
Use a credit card
Sell something you own
I would not be able to access this money
Other place. Please tell us:

24. How worried are you about your finances?
Not at all
A little
Somewhat
Very
Extremely
25. Currently, how successful are you at…
Not at all

A little Somewhat

Very

Extremely

Not at all A Little Somewhat

Very

Extremely

Often

Very often

a. …controlling your spending?
b. …paying your bills on time?
c. …planning for your financial future?
d. …providing for yourself and your family?
e. …saving money?
26. Thinking about the way you spend your money….

a. …how confident are you making decisions
about money?
b. …how confident are you that the way you
manage money will affect your future?
c. …how much in debt do you consider
yourself?
…how often do you…
e. …keep track of all of your expenses?
f. …compare prices when you shop?
g. …use a budget or spending plan?

Never

Rarely Sometimes

27. In the last 30 days, how often did you feel that you were not able to control the important things
in your life?
Never
Rarely
Sometimes
Often
Very often
28. Next we ask about your household.
In the last month, what was your households’ total monthly take-home income from each of the
following sources?

$0

$1-$500

$501$1,000

$1,001$1,500

$1,501$2,000

More
than
$2,000

a. Employment, including work for
someone else, self-employment,
or any work for pay.
b. Public benefits, such as cash
assistance, Social Security,
Disability, Unemployment,
rental or housing assistance,
child care, and food stamps.
c. Other sources. Please tell us:

29. In the last 6 months, has your household experienced an unexpected drop in income or an
unexpected expense of at least $500?
Yes
No
30. Currently, how many adults 18 years of age or older live in your household?
Adults
31. Currently, how many children under the age of 18 live in your household?
Children
32. Currently, what is your living situation?
Shelter, transitional housing, or homeless
Own
Rent, but not public housing
Public housing
Staying with family or friends

33. Finally, we ask for your opinion on financial matters.
How much is your decision whether or not to save money in a savings or checking account
affected by…
Not at all

A little Somewhat

A lot

Extremely

a. …eligibility for public benefits?
b. …the risk of garnishment due to
outstanding debt you may have?
34. Do you think the amount of money a person saves in a savings or checking account can affect their
eligibility for…
Definitely
It
Yes,
not
depends certainly Not sure
a. …Temporary Assistance for Needy Families, or TANF?
b. …Food stamps, Supplemental Nutrition Assistance
Program, or SNAP?
c. …Medicaid, excluding Medicaid for the elderly, blind or
disabled?
35. Imagine you win $1,000 in the lottery today.
a. Would you rather wait 6 weeks for the full $1,000 or take $850 now?
Take $850 today
Wait 6 weeks for $1,000
b. Would you rather wait 6 weeks for the full $1,000 or take $900 now?
Take $900 today
Wait 6 weeks for $1,000
c. Would you rather wait 6 weeks for the full $1,000 or take $950 now?
Take $950 today
Wait 6 weeks for $1,000
Thank you very much for taking the time to complete this survey.
Please return the completed survey in the postage-paid envelope provided to:
Sterling Hall, Room B607
475 North Charter Street
Madison, WI 53706-1582
Paperwork Reduction Act Notice
Notwithstanding any other provision of the law, no person is required to respond to, nor shall any person be subject to a penalty
for failure to comply with a collection of information subject to the requirements of the Paperwork Reduction Act, unless that
collection of information displays a currently valid OMB Control Number. The estimated time to complete this survey is 20
minutes. To provide comment on this survey, please contact Louisa M. Quittman, Director, Community Programs, Office of
Financial Education and Financial Access, US Department of the Treasury, 1500 Pennsylvania Ave., NW, Washington, DC
20220. This is an approved information collection under OMB #1505-0242.