Instrument 1: Survey of E&T Programs Integrating Financial Capability

DRAFT – Survey of Employment and Training Programs Integrating Financial Capability

Survey Questionnaire

Last updated: 8/26/2021

Thank you for agreeing to participate in the Integrating Financial Capability and Employment Services survey. This survey is being conducted for Office of Planning, Research, and Evaluation (OPRE), a division of the Administration for Children and Families (ACF) within the U.S. Department of Health and Human Services and is being administered by MEF Associates and Urban Institute on behalf of OPRE. This survey will help OPRE to better understand how financial capabilities interventions are delivered in the context of employment and training programs serving adults with lower or modest incomes.

The survey will take approximately 20 minutes to complete. We are asking staff and managers of programs that deliver employment and training programs and financial capabilities interventions that are in some way coordinated or integrated to participate in the survey. Survey questions will focus on details about your organization, the employment and training and/or financial capabilities services it offers, the ways the two types of services work together, partnerships and staffing involved in delivering these services, promising practices and challenges in delivering these services, and any relevant outcome measurements and evaluations.

Your participation is voluntary. You do not have to answer any question you do not want to, and you may end the survey at any time. Only the study team will see your survey responses and all responses will be kept private. Your name will not be included in any report or publication associated with this study or its results. The information you share will contribute to the evidence policymakers and practitioners have about financial capability interventions delivered in employment and training program contexts, and how they may be helpful for adults with low incomes.

Please take your time as you answer these questions. A government agency may not conduct or sponsor, and a person is not required to respond to, a collection of information unless it displays a currently valid OMB control number. The OMB number for this information collection is XXXX-XXXX and the expiration date is XX/XX/XXXX.

If you have any questions about this effort, please contact the project director:

Sam Elkin

[email protected]

(703) 838-2722

By proceeding, you give your consent to participate in this survey. 

MODULE A. RESPONDENT INFORMATION

First, we would like to ask you a few questions about you and your role.

1. What is your name?

   	First name: OPEN TEXT
   	Last name: OPEN TEXT

2. What is your email address?

   OPEN TEXT

3. Please provide the name of your organization and your job title or position below.

   	Name of organization:
   	Your job title or position:

4. How long have you been at your current role?

	Years: Please enter a number without commas or decimals
	Months: Please enter a number without commas or decimals

MODULE B. ORGANIZATION INFORMATION

Programming Note: The questions in this module will be used as screening questions to ensure the programs meet our study definitions of an E&T program.

Introductory Text: Now that we’ve learned a little about you and your role, we would like to ask a few general questions about the organization you work for.

1. In which of the following states or territories does your organization operate? To select more than one, hold down the CTRL key.

   State: [DROPDOWN LIST OF STATES AND TERRITORIES]

2. In which of the following counties in [State selected in B.1.1] does your organization operate? Select all that apply.

   [DROP DOWN LIST OF COUNTIES BASED ON B.1]

   

   1. PROGRAMING NOTE: B.2 will be repeated for each State/territory selected in B.1.

3. Please enter the city in which your organization is located. If your organization has multiple locations, please enter information for the location that serves the largest number of participants.

   OPEN TEXT

4. About how many individuals does your organization serve each year on average?

   Please enter a whole number.

5. Which of the following federal programs does your organization operate? Select all that apply.

   	Community Services Block Grant
   	H-1B Job Training Grants
   	Native Employment Works
   	Reentry Employment Opportunities
   	Refugee and Entrant Assistance
   	Registered Apprenticeship
   	Second Chance Act Reentry Initiative
   	Supplemental Nutrition Assistance Program (SNAP) Employment and Training
   	Temporary Assistance for Needy Families (TANF)
   	Vocational Rehabilitation and Employment
   	Wagner-Peyser Act Employment Service
   	WIOA Adult Program
   	WIOA Dislocated Worker Program
   	Other (please specify):
   	Our organization does not operate any of these federal programs

6. Please describe the characteristics of the individuals your organization serves. Select all that apply.

	Cash assistance recipients (e.g., TANF, General Cash Assistance)
	Chronic illness
	Disability(ies)
	Discouraged workers (i.e., those who want and are available for work, but are not currently looking for work because they believe no jobs are available for them)
	Dislocated workers (i.e., individuals who have been terminated or laid and are unlikely to return to a previous industry or occupation)
	English language learners
	Formerly incarcerated
	Homelessness
	Immigrants
	Justice system involvement (e.g., arrested, on probation, etc.)
	Less than high school diploma or GED
	Mental illness
	Parents/primary caregivers of children under 18
	Refugees
	Seniors (age 60+)
	Single parents
	Substance use disorder
	Veterans or transitioning service members
	Other (please specify):

7. Which of the following types of Employment and Training (E&T) services does your organization directly deliver to participants? By directly deliver, we mean that staff at your organization provide these services. Select all that apply. For more information on what these services include, hover over each response option.

   	Employment counseling or coaching – [Definition appears when hovered over: Identifying job seekers’ skills, personal interests, and barriers to finding a job and using this information to develop individualized employment plans]
   	Job search assistance [Definition appears when hovered over: Providing guidance in identifying job openings, navigating the job market, or finding and selecting a job]
   	Soft skills training: [Definition appears when hovered over: Preparing job seekers for work, including training in soft skills such as punctuality, interacting with colleagues, and handling conflict]
   	Job development: [Definition appears when hovered over: Working with employers to identify or create a specific opening for clients]
   	Occupational or sectoral training: [Definition appears when hovered over: Training that is tied to a particular occupation]
   	Work-based training: [Definition appears when hovered over: Placing clients into paid or unpaid work experience (including subsidized jobs, apprenticeships, internships, etc.)]
   	Employment retention services: [Definition appears when hovered over: Providing services, case management, coaching, or supports to help employed individuals maintain a job]
   	Case management: [Definition appears when hovered over: Meeting, typically one-on-one, with an employment specialist or counselor who helps assess needs and refers clients to available services]
   	Other services specifically focused on employment and training, please describe:
   	We don’t provide any of these services

   

   2. PROGRAMING NOTE: If their program does not offer any of these services, they are not considered an E&T program for the purposes of this survey and are screened out. They will receive a thank you message, and no more information will be collected from them.

8. Which of the following employment and training services are targeted to low-income individuals over the age of 18? Select all that apply.

PROGRAMMING NOTE: Only services selected in question B.7 will appear as response categories below.

	Employment counseling or coaching
	Job search assistance
	Soft skills training
	Occupational or sectoral training
	Work-based training
	Job development or job placement
	Case management
	{insert response to other E&T services provided}
	None of these services are targeted to low-income individuals over the age of 18

PROGRAMING NOTE: If their program does not offer any of these services for low-income adults, they are not considered an E&T program of interest for the purposes of this survey and are screened out. No more information will be collected from them.

9. Does your organization offer any of the following services to increase participants’ financial knowledge? Select all that apply.

		Our organization provides this service	We jointly provide this service with a partner organization	We refer participants to another organization to receive this service	We do not offer this service
	Financial education – workshops, classes, or curricula that cover specific topics, such as money management, how to reduce debt, or manage credit
	Financial coaching – multiple one-on-one sessions that focus on topics related to achieving the financial goals set by the participant
	Financial counseling – multiple one-on-one sessions to address specific financial issues facing the participant where the session goals are counselor-defined
	Credit counseling – multiple one-on-one sessions delivered by a credit counselor who covers topics on how to reduce debt or improve credit

PROGRAMING NOTE:

Respondents who select “our organization provides this service” or “we jointly provide this service with a partner organization” for B.9.1 get MODULE D

Respondents who select “our organization provides this service” or “we jointly provide this service with a partner organization” for B.9.2 get MODULE E

Respondents who select “our organization provides this service” or “we jointly provide this service with a partner organization” for B.9.3 get MODULE F

Respondents who select “our organization provides this service” or “we jointly provide this service with a partner organization” for B.9.4 get MODULE G

Respondents who only provide financial capability services through a referral (i.e., do NOT select “our organization provides this service or “we jointly provide this service with a partner organization” for any of B.9.1-B.9.4 and select “we refer participants to another organization to receive this service” for at least one of B.9.1-B.9.4) go to MODULE C

If B.9.1-B.9.4 = “we do not offer this service” go to MODULE H.

2. REFERRALS

   1. We understand you may work with multiple partner organizations to provide financial education services. What organization do you work with most closely to provide services to increase participants’ financial knowledge?

      OPEN TEXT

   2. Which of the following services does [organization name from C.1] offer? Check all that apply.

      	Financial education – workshops, classes, or curricula that cover specific topics, such as money management, how to reduce debt, or manage credit
      	Financial coaching – multiple one-on-one sessions that focus on topics related to achieving the financial goals set by the participant
      	Financial counseling – multiple one-on-one sessions to address specific financial issues facing the participant where the session goals are counselor-defined
      	Credit counseling – multiple one-on-one sessions delivered by a credit counselor who covers topics on how to reduce debt or improve credit

   3. We may wish to contact staff at [organization name from C.1] to learn more about their services. Please provide an email below for your contact at the organization.

      OPEN TEXT

   4. How often do members of your organization meet with members of {organization name from C.1}?

      	Never
      F	Seldom (quarterly or annually)
      	Occasionally (monthly)
      	Regularly (weekly)
      	Continuously (day-to-day contact)

   5. What is the degree of information sharing between your two organizations?

      	We do not share information about our participants with or receive information about our clients from {organization name from C.1}
      	My organization provides information on our participants to {organization name from C.1}, but does not receive information on our participants from {organization name from C.1}
      	My organization receives information on our participants from {organization name from C.1}, but does not share information on our participants with {organization name from C.1}
      	My organization shares information about our participants with and receives information about our participants from {organization name from C.1}

   6. How is {organization name from C.1} reimbursed?

      	{Organization name from C.1} assumes all of the cost of serving our participants
      	We partially reimburse {organization name from C.1} for serving our participants
      	We fully reimburse {organization name from C.1} for serving our participants
      	All resources are held in common with {organization name from C.1}

   7. To what degree do you and {organization name from C.1} share facilities? Select all that apply.

	Participants receive services at {organization name from C.1}’s location provided by {organization name from C.1}’s staff
	{Organization name from C.1}’s staff provide services at our location
	Our staff provide services at {organization name from C.1}’s location
	Our organizations are fully co-located

PROGRAMING NOTE: Respondents will go to the survey thank you page. No additional information will be collected from them.

2. 

   1. PROGRAMMING NOTE: Respondents that indicated they offer financial education (B.9.1=“our organization provides this service” or “we jointly provide this service with a partner organization”) will get this module.

   FINANCIAL EDUCATION

1. Financial Education and E&T Service Integration

1. 

   3. PROGRAMMING NOTE: If yes, go to D.2. If no, skip to D.3.

   Is financial education a standalone service that is offered to all program participants at your organization? Financial education can include workshops or classes that cover specific topics aim at increasing financial knowledge, such as money management, how to reduce debt, or manage credit.

   	Yes
   	No

2. How is financial education primarily offered to participants? Select all that apply.

   	Our organization provides these services
   	We jointly provide these services with a partner organization
   	PROGRAMMING NOTE: If D.2.1 or D.2.2, skip to D.10. If D.2.3, skip to D.5. We refer participants to another organization to receive these services

3. Financial education is offered to participants through which of the following employment and training services? Select all that apply. Financial education can include workshops or classes that cover specific topics aim at increasing financial knowledge, such as money management, how to reduce debt, or manage credit.

PROGRAMMING NOTE: Only services selected in question B.8 will appear as response categories below.

	Employment counseling or coaching
	Job search assistance
	Soft skills training
	Occupational or sectorial training
	Work-based training
	Job development or job placement
	Case management
	{insert response to other E&T services provided}

4. How are financial education classes or workshops primarily offered to participants receiving each of the employment and training services below? Select all that apply.

PROGRAMMING NOTE: Only services selected in question D.3 will appear as response categories below.

	Employment counseling or coaching	Our organization provides these services ourselves	We jointly provide these services with a partner organization	We refer participants to another organization
	Job search assistance	Our organization provides these services ourselves	We jointly provide these services with a partner organization	We refer participants to another organization
	Soft skills training	Our organization provides these services ourselves	We jointly provide these services with a partner organization	We refer participants to another organization
	Occupational or sectorial training	Our organization provides these services ourselves	We jointly provide these services with a partner organization	We refer participants to another organization
	Work-based training	Our organization provides these services ourselves	We jointly provide these services with a partner organization	We refer participants to another organization
	Job development or job placement	Our organization provides these services ourselves	We jointly provide these services with a partner organization	We refer participants to another organization
	Case management	Our organization provides these services ourselves	We jointly provide these services with a partner organization	We refer participants to another organization
	{insert response to other E&T services provided}	Our organization provides these services ourselves	We jointly provide these services with a partner organization	We refer participants to another organization

2. Strength of Partnership

5. We understand you may work with multiple partner organizations to provide financial education services. Which organization do you work with most closely to provide financial education services?

   OPEN ENDED

6. How often do members of your organization meet with members of {organization name from D.5}?

   	Never
   F	Seldom (quarterly or annually)
   	Occasionally (monthly)
   	Regularly (weekly)
   	Continuously (day-to-day contact)

7. What is the degree of information sharing between your two organizations?

   	We do not share information about our participants with or receive information about our clients from {organization name from D.5}
   	My organization provides information on our participants to {organization name from D.5}, but does not receive information on our participants from {organization name from D.5
   	My organization receives information on our participants from {organization name from D.5}, but does not share information on our participants with {organization name from D.5}
   	My organization shares information about our participants with and receives information about our participants from {organization name from D.5}

8. How is {organization name from D.5} reimbursed?

   	{Organization name from D.5} assumes all of the cost of serving our participants
   	We partially reimburse {organization name from D.5} for serving our participants
   	We fully reimburse {organization name from D.5} for serving our participants
   	All resources are held in common with {organization name from D.5}

9. To what degree do you and {organization name from D.5} share facilities? Select all that apply.

	Participants receive services at {organization name from D.5}’s location provided by {organization name from D.5}’s staff
	{Organization name from D.5}’s staff provide services at our location
	Our staff provide services at {organization name from D.5}’s location
	Our organizations are fully co-located

3. Implementation of Financial Education

Introductory Text: We’d like to learn more about how your organization incorporates financial education into employment and training services. We understand that how financial education is incorporated into E&T services could vary by participant.

For the next set of questions, we’d like you to think about a typical participant who receives financial education.

10. 

    4. Only response options selected in B.6 will appear below.
       
       
       

    Can you describe the characteristics of a typical participant who receives financial education? Select all that apply.

    	Cash assistance recipients (e.g., TANF, General Cash Assistance)
    	Chronic illness
    	Disability(ies)
    	Discouraged workers (i.e., those who want and are available for work, but are not currently looking for work because they believe no jobs are available for them)
    	Dislocated workers (i.e., individuals who have been terminated or laid and are unlikely to return to a previous industry or occupation)
    	English language learners
    	Formerly incarcerated
    	Homelessness
    	Immigrants
    	Justice system involvement (e.g., arrested, on probation, etc.)
    	Less than high school diploma or GED
    	Mental illness
    	Parents/primary caregivers of children under 18
    	Refugees
    	Seniors (age 60+)
    	Single parents
    	Substance use disorder
    	Veterans or transitioning service members
    	[Insert text from B.6.16]

11. What are the most common needs of participants who are offered financial education? Check all that apply.

    	Managing daily finances
    	Building savings for emergencies
    	Resolving issues with debt or credit
    	Achieving longer-term financial goals
    	Other (please specify):

12. What topics are recommended for a typical participant receiving financial education? Check all that apply.

    	Budgeting
    	Debt
    	Credit
    	Savings
    	Asset Building
    	Asset Limits or Benefit Cliffs
    	Other (please specify)

13. Is financial education required for any of your participants?

    	Yes
    	No

14. How does a typical participant access the workshops or classes?

    	Online only
    	In-person only
    	By telephone only
    	Combination of telephone and in-person
    	Combination of online and in-person
    	Combination of telephone, online, and in-person

15. On average, how many hours of financial education does a typical participant receive?

PLEASE ENTER A WHOLE NUMBER

PROGRAMMING NOTE:

Respondents who select “our organization provides this service” or “we jointly provide this service with a partner organization” for B.9.2 go to MODULE E

Respondents who do not select “our organization provides this service” or “we jointly provide this service with a partner organization” for B.9.2, but do for B.9.3 go to MODULE F

Respondents who do not select “our organization provides this service” or “we jointly provide this service with a partner organization” for B.9.2 or B.9.3 but do for B.9.4 go to MODULE G

Respondents who do not select “our organization provides this service” or “we jointly provide this service with a partner organization” for B.9.2- B.9.4 go to MODULE H.

2. 

   2. PROGRAMMING NOTE: Respondents that indicated they offer financial coaching (B.9.2= “our organization provides this service” or “we jointly provide this service with a partner organization”) will get this module.

   FINANCIAL COACHING

1. Financial Coaching and E&T Service Integration

1. 

   5. PROGRAMMING NOTE: If yes, go to E.2. If no, skip to E.3.

   Is financial coaching a standalone service that is offered to all program participants at your organization? Financial coaching includes multiple one-on-one sessions that focus on topics related to achieving the financial goals set by the participant.

   	Yes
   	No

2. 

   6. PROGRAMMING NOTE: If E.2.1 or E.2.2, skip to E.10. If E.2.3, skip to E.5.

   How is financial coaching primarily offered to participants? Select all that apply.

   	Our organization provides these services
   	We jointly provide these services with a partner organization
   	We refer participants to another organization to receive these services

3. Financial coaching is offered to participants through which of the following employment and training services? Check all that apply. Financial coaching includes multiple one-on-one sessions that focus on topics related to achieving the financial goals set by the participant.

PROGRAMMING NOTE: Only services selected in question B.8 will appear as response categories below.

	Employment counseling or coaching
	Job search assistance
	Soft skills training
	Occupational or sectorial training
	Work-based training
	Job development or job placement
	Case management
	{insert response to other E&T services provided}

4. How is financial coaching primarily offered to participants receiving each of the E&T services below? Select all that apply. Financial coaching includes multiple one-on-one sessions that focus on topics related to achieving the financial goals set by the participant.

PROGRAMMING NOTE: Only services selected in question E.3 will appear as response categories below.

	Employment counseling or coaching	Our organization provides these services ourselves	We jointly provide these services with a partner organization	We refer participants to another organization
	Job search assistance	Our organization provides these services ourselves	We jointly provide these services with a partner organization	We refer participants to another organization
	Soft skills training	Our organization provides these services ourselves	We jointly provide these services with a partner organization	We refer participants to another organization
	Occupational or sectorial training	Our organization provides these services ourselves	We jointly provide these services with a partner organization	We refer participants to another organization
	Work-based training	Our organization provides these services ourselves	We jointly provide these services with a partner organization	We refer participants to another organization
	Job development or job placement	Our organization provides these services ourselves	We jointly provide these services with a partner organization	We refer participants to another organization
	Case management	Our organization provides these services ourselves	We jointly provide these services with a partner organization	We refer participants to another organization
	{insert response to other E&T services provided}	Our organization provides these services ourselves	We jointly provide these services with a partner organization	We refer participants to another organization

If respondents “work jointly with a partner organization” or they “refer participants to another organization” for any of the above, go to E.5. Otherwise skip to E.10.

2. Strength of Partnership

5. 

   7. If the organization name is the same as in D.5, skip to E.10.
      
      
      

   We understand you may work with multiple partner organizations to provide financial coaching services. Which organization do you work with most closely to provide financial coaching?

   OPEN ENDED

6. How often do members of your organization meet with members of {organization name from E.5}?

   	Never
   F	Seldom (quarterly or annually)
   	Occasionally (monthly)
   	Regularly (weekly)
   	Continuously (day-to-day contact)

7. What is the degree of information sharing between your two organizations?

   	We do not share information about our participants with or receive information about our participants from {organization name from E.5}
   	My organization provides information on our participants to {organization name from E.5}, but does not receive information on our participants from {organization name from E.5}
   	My organization receives information on our participants from {organization name from E.5}, but does not share information on our participants with {organization name from E.5}
   	My organization shares information about our participants with and receives information about our participants from {organization name from E.5}

8. How is {organization name from E.5} reimbursed?

   	{Organization name from E.5} assumes all of the cost of serving our participants
   	We partially reimburse {organization name from E.5} for serving our participants
   	We fully reimburse {organization name from E.5} for serving our participants
   	All resources are held in common with {organization name from E.5}

9. To what degree do you and {organization name from E.5} share facilities? Select all that apply.

	Participants receive services at {organization name from E.5}’s location provided by {organization name from E.5}’s staff
	{Organization name from E.5}’s staff provide services at our location
	Our staff provide services at {organization name from E.5}’s location
	Our organizations are fully co-located

3. Implementation of Financial Coaching

Introductory Text: We’d like to learn more about how your organization incorporates financial coaching into employment and training services. We recognize how financial coaching is incorporated into E&T services often varies by participant.

For the next set of questions, we’d like you to think about a typical participant who receives financial coaching.

10. 

    8. Only response options selected in B.6 will appear below.
       
       
       

    Can you describe the characteristics of a typical participant who receives financial coaching? Check all that apply.

    	Cash assistance recipients (e.g., TANF, General Cash Assistance)
    	Chronic illness
    	Disability(ies)
    	Discouraged workers (i.e., those who want and are available for work, but are not currently looking for work because they believe no jobs are available for them)
    	Dislocated workers (i.e., individuals who have been terminated or laid and are unlikely to return to a previous industry or occupation)
    	English language learners
    	Formerly incarcerated
    	Homelessness
    	Immigrants
    	Justice system involvement (e.g., arrested, on probation, etc.)
    	Less than high school diploma or GED
    	Mental illness
    	Parents/primary caregivers of children under 18
    	Refugees
    	Seniors (age 60+)
    	Single parents
    	Substance use disorder
    	Veterans or transitioning service members
    	[Insert text from B.6.16]

11. Is financial coaching required for any of your participants??

    	Yes
    	No

12. On average, how many one-on-one sessions does the typical client participating in financial coaching receive?

Please enter a whole number, no commas or decimals

13. How does a typical participant access financial coaching?

	Online only
	In-person only
	By telephone only
	Combination of telephone and in-person
	Combination of online and in-person
	Combination of telephone, online, and in-person

PROGRAMMING NOTE Respondents who select “our organization provides this service” or “we jointly provide this service with a partner organization” for B.9.3, go to MODULE F

Respondents who do not select “our organization provides this service” or “we jointly provide this service with a partner organization” for B.9.3 but do for B.9.4 go to MODULE G

Respondents who do not select “our organization provides this service” or “we jointly provide this service with a partner organization” for B.9.3 or B.9.4 go to MODULE H.

2. 

   3. PROGRAMMING NOTE: Respondents who indicated they offer financial counseling (B.9.3=“our organization provides this service” or “we jointly provide this service with a partner organization”) will get this module.

   FINANCIAL COUNSELING

1. Financial Counseling and E&T Service Integration

1. 

   9. PROGRAMMING NOTE: If yes, go to F.2. If no, skip to F.3

   Is financial counseling a standalone service that is offered to all program participants at your organization? Financial counseling is multiple one-on-one sessions to address specific financial issues facing the participant, where the session goals are counselor defined.

   	Yes
   	No

2. 

   10. PROGRAMMING NOTE: If F.2.1 or F.2.2, skip to F.10. If F.2.3, skip to F.5.

   How is financial counseling primarily offered to participants? Select all that apply.

   	Our organization provides these services
   	We jointly provide these services with a partner organization
   	We refer participants to another organization to receive these services

3. Financial counseling is offered to participants through which of the following employment and training services? Check all that apply. Financial counseling is multiple one-on-one sessions to address specific financial issues facing the participant, where the session goals are counselor defined.

PROGRAMMING NOTE: Only services selected in question B.8 will appear as response categories below.

	Employment counseling or coaching
	Job search assistance
	Soft skills training
	Occupational or sectorial training
	Work-based training
	Job development or job placement
	Case management
	{insert response to other E&T services provided}

4. How is financial counseling primarily offered to participants receiving each of the employment and training services below? Select all that apply. Financial counseling includes multiple one-on-one sessions to address specific financial issues facing the participant; session goals are defined by the financial counselor.

PROGRAMMING NOTE: Only services selected in question F.3 will appear as response categories below.

	Employment counseling or coaching	Our organization provides these services ourselves	We jointly provide these services with a partner organization	We refer participants to another organization
	Job search assistance	Our organization provides these services ourselves	We jointly provide these services with a partner organization	We refer participants to another organization
	Soft skills training	Our organization provides these services ourselves	We jointly provide these services with a partner organization	We refer participants to another organization
	Occupational or sectorial training	Our organization provides these services ourselves	We jointly provide these services with a partner organization	We refer participants to another organization
	Work-based training	Our organization provides these services ourselves	We jointly provide these services with a partner organization	We refer participants to another organization
	Job development or job placement	Our organization provides these services ourselves	We jointly provide these services with a partner organization	We refer participants to another organization
	Case management	Our organization provides these services ourselves	We jointly provide these services with a partner organization	We refer participants to another organization
	{insert response to other E&T services provided}	Our organization provides these services ourselves	We jointly provide these services with a partner organization	We refer participants to another organization

If respondents “work jointly with a partner organization” or they “refer participants to another organization” for any of the above, go to F.5. Otherwise skip to F.10.

2. Strength of Partnership

1. 

   11. If the organization name is the same as D.5 or E.5, skip to E.10.
       
       
       

   We understand you may work with multiple partner organizations to provide financial counseling services. Which organization do you work with most closely to provide financial counseling?

   OPEN ENDED

2. How often do members of your organization meet with members of {organization name from F.5}?

   	Never
   F	Seldom (quarterly or annually)
   	Occasionally (monthly)
   	Regularly (weekly)
   	Continuously (day-to-day contact)

3. What is the degree of information sharing between your two organizations?

   	We do not share information about our participants with or receive information about our participants from {organization name from F.5}
   	My organization provides information on our participants to {organization name from F.5}, but does not receive information on our participants from {organization name from F.5}
   	My organization receives information on our participants from {organization name from F.5}, but does not share information on our participants with {organization name from F.5}
   	My organization shares information about our participants with and receives information about our participants from {organization name from F.5}

4. How is {organization name from F.5} reimbursed?

   	{Organization name from F.5} assumes all of the cost of serving our participants
   	We partially reimburse {organization name from F.5} for serving our participants
   	We fully reimburse {organization name from F.5} for serving our participants
   	All resources are held in common with {organization name from F.5}

5. To what degree do you and {organization name from F.5} share facilities? Select all that apply.

	Participants receive services at {organization name from F.5}’s location provided by {organization name from F.5}’s staff
	{Organization name from F.5}’s staff provide services at our location
	Our staff provide services at {organization name from F.5}’s location
	Our organizations are fully co-located

3. Implementation of Financial Counseling

Introductory Text: We’d like to learn more about how your organization incorporates financial counseling into employment and training services. We recognize how financial counseling is incorporated into E&T services often varies by participant. For the next set of questions, we’d like you to think about a typical participant who receives financial counseling.

10. 

    12. Only response options selected in B.6 will appear below.
        
        
        

    Can you describe the characteristics of a typical participant who receives financial counseling? Select all that apply.

    	Cash assistance recipients (e.g., TANF, General Cash Assistance)
    	Chronic illness
    	Disability(ies)
    	Discouraged workers (i.e., those who want and are available for work, but are not currently looking for work because they believe no jobs are available for them)
    	Dislocated workers (i.e., individuals who have been terminated or laid and are unlikely to return to a previous industry or occupation)
    	English language learners
    	Formerly incarcerated
    	Homelessness
    	Immigrants
    	Justice system involvement (e.g., arrested, on probation, etc.)
    	Less than high school diploma or GED
    	Mental illness
    	Parents/primary caregivers of children under 18
    	Refugees
    	Seniors (age 60+)
    	Single parents
    	Substance use disorder
    	Veterans or transitioning service members
    	[Insert text from B.6.16]

11. Is financial counseling required for any of your participants?

    	Yes
    	No

12. How does a typical participant access financial counseling?

	Online only
	In-person only
	By telephone only
	Combination of telephone and in-person
	Combination of online and in-person
	Combination of telephone, online, and in-person

13. On average, how many one-on-one financial counseling sessions does the typical participant receive?

Please enter a whole number, no commas or decimals

2. 

   4. PROGRAMMING NOTE: Respondents who indicated they offer credit counseling (B.9.4=“our organization provides this service” or “we jointly provide this service with a partner organization”) will get this module.

   CREDIT COUNSELING

1. Credit Counseling and E&T Service Integration

1. 

   13. PROGRAMMING NOTE: If yes, go to G.2. If no, skip to G.3

   Is credit counseling a standalone service that is offered to all program participants at your organization? Credit counseling can be multiple one-on-one sessions delivered by a credit counselor who covers topics on how to reduce debt or improve credit.

   	Yes
   	No

2. 

   14. PROGRAMMING NOTE: If G.2.1 or G.2.2, skip to G.10. If G.2.3, skip to G.5.

   How is credit counseling primarily offered to participants? Select all that apply.

   	Our organization provides these services
   	We jointly provide these services with a partner organization
   	We refer participants to another organization to receive these services

3. Credit counseling is offered to participants through which of the following employment and training services? Select all that apply. Credit counseling can be multiple one-on-one sessions delivered by a credit counselor who covers topics on how to reduce debt or improve credit.

PROGRAMMING NOTE: Only services selected in question B.8 will appear as response categories below.

	Employment counseling or coaching
	Job search assistance
	Soft skills training
	Occupational or sectorial training
	Work-based training
	Job development or job placement
	Case management
	{insert response to other E&T services provided}

4. How is credit counseling primarily offered to participants receiving each of the employment and training services below? Select all that apply. Credit counseling can be multiple one-on-one sessions delivered by a credit counselor who covers topics on how to reduce debt or improve credit.

PROGRAMMING NOTE: Only services selected in question G.3 will appear as response categories below.

	Employment counseling or coaching	Our organization provides these services ourselves	We jointly provide these services with a partner organization	We refer participants to another organization
	Job search assistance	Our organization provides these services ourselves	We jointly provide these services with a partner organization	We refer participants to another organization
	Soft skills training	Our organization provides these services ourselves	We jointly provide these services with a partner organization	We refer participants to another organization
	Occupational or sectorial training	Our organization provides these services ourselves	We jointly provide these services with a partner organization	We refer participants to another organization
	Work-based training	Our organization provides these services ourselves	We jointly provide these services with a partner organization	We refer participants to another organization
	Job development or job placement	Our organization provides these services ourselves	We jointly provide these services with a partner organization	We refer participants to another organization
	Case management	Our organization provides these services ourselves	We jointly provide these services with a partner organization	We refer participants to another organization
	{insert response to other E&T services provided}	Our organization provides these services ourselves	We jointly provide these services with a partner organization	We refer participants to another organization

If respondents “work jointly with a partner organization” or they “refer participants to another organization” for any of the above, go to G.5. Otherwise skip to G.10.

2. Strength of Partnership

1. 

   15. If the organization name is the same as D.5, E.5, or F.5, skip to F.10.
       
       
       

   We understand you may work with multiple partner organizations to provide credit counseling services. Which organization do you work with most closely to provide credit counseling?

   OPEN ENDED

2. How often do members of your organization meet with members of {organization name from G.5}?

   	Never
   F	Seldom (quarterly or annually)
   	Occasionally (monthly)
   	Regularly (weekly)
   	Continuously (day-to-day contact)

3. What is the degree of information sharing between your two organizations?

   	We do not share information about our participants with or receive information about our participants from {organization name from G.5}
   	My organization provides information on our participants to {organization name from G.5}, but does not receive information on our participants from {organization name from G.5}
   	My organization receives information on our participants from {organization name from G.54}, but does not share information on our participants with {organization name from G.5}
   	My organization shares information about our participants with and receives information about our participants from {organization name from G.5}

4. How is {organization name from G.5} reimbursed?

   	{Organization name from G.5} assumes all of the cost of serving our participants
   	We partially reimburse {organization name from G.5} for serving our participants
   	We fully reimburse {organization name from G.5} for serving our participants
   	All resources are held in common with {organization name from G.5}

5. To what degree do you and {organization name from G.5} share facilities? Select all that apply.

	Participants receive services at {organization name from G.5}’s location provided by {organization name from G.5}’s staff
	{Organization name from G.5}’s staff provide services at our location
	Our staff provide services at {organization name from G.5}’s location
	Our organizations are fully co-located

3. Implementation of Credit Counseling

Introductory Text: We’d like to learn more about how your organization incorporates credit counseling into employment and training services. We recognize how credit counseling is incorporated into E&T services often varies by participant. For the next set of questions, we’d like you to think about a typical participant who receives credit counseling.

10. 

    16. Only response options selected in B.6 will appear below.
        
        
        

    Can you describe the characteristics of a typical participant who receives credit counseling? Select all that apply.

    	Cash assistance recipients (e.g., TANF, General Cash Assistance)
    	Chronic illness
    	Disability(ies)
    	Discouraged workers (i.e., those who want and are available for work, but are not currently looking for work because they believe no jobs are available for them)
    	Dislocated workers (i.e., individuals who have been terminated or laid and are unlikely to return to a previous industry or occupation)
    	English language learners
    	Formerly incarcerated
    	Homelessness
    	Immigrants
    	Justice system involvement (e.g., arrested, on probation, etc.)
    	Less than high school diploma or GED
    	Mental illness
    	Parents/primary caregivers of children under 18
    	Refugees
    	Seniors (age 60+)
    	Single parents
    	Substance use disorder
    	Veterans or transitioning service members
    	[Insert text from B.6.16]

11. Is credit counseling required for any of your participants?

    	Yes
    	No

12. How does a typical participant access credit counseling?

	Online only
	In-person only
	By telephone only
	Combination of telephone and in-person
	Combination of online and in-person
	Combination of telephone, online, and in-person

13. On average, how many one-on-one credit counseling sessions does the typical participant receive?

Please enter a whole number, no commas or decimals

2. FINANCIAL ACCESS

1. Emergency Savings Programs

1. Does your program offer access to an emergency savings program? An emergency savings program provides incentives or subsidies to promote and support savings for emergencies.

	Yes
	No

PROGRAMMING NOTE: If yes, go to H.2. If no, skips to H.9.

2. 

   17. PROGRAMMING NOTE: Only those financial knowledge services indicated in B.9 will appear below.

   How do participants access the emergency savings program? Check all that apply.

   	An emergency savings program is offered through participation in financial education
   	An emergency savings program is offered through participation in financial coaching
   	An emergency savings program is offered through participation in financial counseling
   	An emergency savings program is offered through participation in credit counseling.
   	An emergency saving program is offered through participation in our employment and training services
   	Other (please explain):

3. 

   18. PROGRAMMING NOTE: If yes, go to H.4. If no, skip to H.5

   Do you partner with another organization to provide the emergency savings program?

   	Yes
   	No

4. Please list the name of the organization(s) you work with to provide the emergency savings program. List up to three.

   	OPEN ENDED
   	OPEN ENDED
   	OPEN ENDED

5. Are participants automatically enrolled in the emergency savings program?

   	Yes
   	No
   	It depends (please explain):

6. 

   19. PROGRAMMING NOTE: If yes, go to H.7. If no, skip to H.8

   As part of the emergency saving program, do participants receive a match when saving money in these accounts?

   	Yes
   	No

7. What is the match rate?

   OPEN ENDED (please enter a rate)

8. Are there restrictions on the types of expenses participants can use their emergency savings for? For example, some emergency savings programs have restrictions that prevent or penalize using the savings for a non-approved purpose.

	No
	Yes (please specify):

2. Safe and Affordable Financial Products

1. 

   20. PROGRAMMING NOTE: If yes, go to H.10. If no, skips to H.15

   Does your program offer access to safe and affordable financial products? Safe and affordable financial products include banking and savings accounts, or low-cost loans to promote credit-building.

   	Yes
   	No

2. 

   21. PROGRAMMING NOTE: Only those financial knowledge services indicated in B.9 will appear below.

   How do participants access the safe and affordable financial products? Check all that apply.

   	Safe and affordable financial products are offered through participation in financial education
   	Safe and affordable products are offered through participation in financial coaching
   	Safe and affordable financial products are offered through participation in financial counseling
   	Safe and affordable financial products are offered through participation in credit counseling
   	Safe and affordable financial products are offered through participation in our employment and training services
   	Other (please explain):

3. 

   22. PROGRAMMING NOTE: If yes, go to H.12. If no, skip to H.13

   Do you partner with another organization to provide safe and affordable financial products?

   	Yes
   	No

4. Please list the name of the organization(s) you work with to provide the safe and affordable financial products. List up to three.

   	OPEN ENDED
   	OPEN ENDED
   	OPEN ENDED

5. Are participants automatically enrolled in safe and affordable financial products?

   	Yes
   	No
   	It depends (please explain):

6. Do the safe and affordable financial products have any of the features below? Check all that apply.

	No overdraft fee
	No monthly fees
	Incentivized deposits
	Other (please specify)

3. Asset-Building Programs

15. 

    23. PROGRAMMING NOTE: If yes, continue to H.16. If no, skip to H.23

    Does your program offer access to asset-building programs? Asset-Building Programs support investments in assets such as a home, small business, or education. Individualized Development Accounts (IDAs) and Child Savings Accounts (CSAs) are examples of asset-building programs.

    	Yes
    	No

16. 

    24. PROGRAMMING NOTE: Only those financial knowledge services indicated in B.9 will appear below.

    How do participants access asset-building programs? Check all that apply.

    	Asset-building programs are offered through participation in financial education
    	Asset-building programs are offered through participation in financial coaching
    	Asset-building programs are offered through participation in financial counseling
    	Asset-building programs are offered through participation in credit counseling
    	Asset-building programs are offered through participation in our employment and training services
    	Other (please explain):

17. 

    25. PROGRAMMING NOTE: If yes, go to H.18. If no, skip to H.19.

    Do you partner with another organization to provide asset-building programs?

    	Yes
    	No

18. Please list the name of the organization(s) you work with to provide the asset-building program. List up to three.

	OPEN ENDED
	OPEN ENDED
	OPEN ENDED

19. Are participants automatically enrolled in asset-building programs?

    	Yes
    	No
    	It depends (please explain):

20. 

    26. PROGRAMMING NOTE: If yes, go to H.21. If no, skip to H.22

    Do participants receive a match when saving in asset-building accounts?

    	Yes
    	No

21. What is the match rate?

OPEN ENDED (please enter a rate)

22. Which assets can participants use savings for without a penalty?

	Education
	Home purchase
	Business Capitalization
	Other (please specify)

4. Tax Preparation Assistance

23. 

    27. PROGRAMMING NOTE: If yes, continue to H.24.

    28. If no, but the respondents’ program offers at least one of the following: financial education, financial coaching, financial counseling, emergency savings programs, low-risk financial products, or asset-building programs, goes to MODULE I.

    29. If no, and respondents’ program does NOT offer any financial capability services, goes to MODULE J.

    Does your program offer access to tax preparation assistance? Assisting low-income workers to prepare and file their taxes.

    	Yes
    	No

24. 
    

    31. PROGRAMMING NOTE: Only those financial knowledge services indicated in B.9 will appear below.

    How do participants access tax preparation assistance? Check all that apply.

    	Tax preparation assistance is offered through participation in financial education
    	Tax preparation assistance is offered through participation in financial coaching
    	Tax preparation assistance is offered through participation in financial counseling
    	Tax preparation assistance is offered through participation in credit counseling
    	Tax preparation assistance is offered through participation in our employment and training services
    	Other (please explain):

25. Do you partner with another organization to provide tax preparation assistance?

    	Yes
    	PROGRAMMING NOTE: If yes, go to H.26. If no, skip to H.27 No

26. Please list the name of the organization(s) you work with to provide tax preparation assistance. List up to three.

	OPEN ENDED
	OPEN ENDED
	OPEN ENDED

27. For your typical participant, what does tax preparation assistance consist of? Select all that apply.

	Free individual tax assistance
	Assistance with accessing free tax preparation software
	Discounts on paid preparation services
	Workshops on tax preparation
	Other (please specify):

2. EVALUATION

   1. Which, if any, of the following outcomes are tracked for participants receiving financial capability services? Select all that apply.

      	Consumer Financial Protection Bureau Financial Well-Being Scale
      	Credit Access
      	Credit Scores
      	Debt
      	Savings or Savings Rates
      	Employment Status
      	Job Quality
      	Wages or Earnings
      	Banked Status
      	Financial Security
      	Other (please specify)
      	None, we do not track outcomes for clients participating in workshops or classes

   2. Are you aware of any efforts to evaluate interventions or programs that deliver financial capability services and employment services together? If so, please include a description below and a link to the evaluation if available.

	Yes (please explain): Link:
	No

3. Are you or others in your organization interested in evaluating the effectiveness of providing financial capability services to your E&T program participants?

	Yes
	No

2. PREVIOUS INTEGRATION OF FINANCIAL CAPABILITY

Introductory Text: You indicated that your organization currently does not offer services to increase participants’ financial knowledge, skills, or access to low-risk financial products. We would like to learn more about whether your organization previously offered these services.

PROGRAMMING NOTE: Only respondents indicating that they do not currently offer financial education, counseling, or access to financial products as indicated in B.9, H.1, H.9, H.15, and H.23 will receive questions in this section

1. 

   32. PROGRAMMING NOTE: If organization has not offered any of these services in the past 5 years, skip to J.3. Otherwise go to J.2.

   In the past 5 years, has your organization offered services to increase participants’ financial knowledge? Check all that apply.

   	Financial education - Workshops or classes that cover specific topics, such as money management, how to reduce debt, or manage credit.
   	Financial coaching - Multiple one-on-one sessions that focus on topics related to achieving the financial goals set by the participant
   	Financial counseling - Multiple one-on-one sessions to address specific financial issues facing the participant; session goals are counselor defined
   	Credit counseling - Multiple one-on-one sessions delivered by a credit counselor who covers topics on how to reduce debt or improve credit
   	To my knowledge, my organization has not offered any of these services in the past 5 years

2. 

   33. PROGRAMMING NOTE: Skip to J.4

   Can you tell us a little about the reasons your organization no longer provides services to increase participants’ financial knowledge?

OPEN TEXT

3. Can you tell us a little about the reasons your organization has not offered services to increase participants’ financial knowledge?

   OPEN TEXT

4. 

   34. PROGRAMMING NOTE: If organization has not offered these services, skip to J.6. Otherwise go to J.5.

   In the past 5 years, has your organization offered services to increase participants’ financial access?

   	Emergency savings programs: Programs that provide incentives or subsidies to promote and support savings for emergencies
   	Access to low-risk financial products: Products include banking and savings accounts, low-cost loans to promote credit-building
   	Tax preparation assistance: Assist low-income workers to prepare and file their taxes and promote awareness of tax credits for which they may be eligible, such as EITC or the child tax credit.
   	Asset-Building Programs: Programs, such as Individualized Development Accounts (IDAs), that support investments in assets such as a home or a small business
   	To my knowledge, my organization has not offered access to financial products or services in the past 5 years

5. 

   35. PROGRAMMING NOTE: Skip to end of survey.

   Can you tell us a little about the reasons your organization no longer provides services to increase participants’ financial access?

   OPEN TEXT

6. Can you tell us a little about the reasons your organization has not provided access to products or services to increase participants’ financial access?

OPEN TEXT

2. 

   5. Respondents who offer at least one of the following: financial education, counseling, or access to financial products as indicated in B.9, H.1, H.9, H.15, and H.23 will receive this question. Otherwise go to thank you page.
      
      
      

   SURVEY CLOSE

Please use the space below to describe what is most successful, innovative, or promising about your program.

OPEN ENDED

THANK YOU PAGE

Thank you for participating in our survey! If you have any outstanding questions about this study, please contact the Project Director Sam Elkin at [email protected].