AARP Survey Test - NFCC - National Foundation for Credit Counseling

Thank you for participating!

AARP SNAP draft

Please complete the following survey

Please complete this survey if food insecurity is suspected or if reducing the client's food budget was recommended. Counselors should ask the client to take this survey during their session. Counselors are then to ask and enter responses to the following questions. Only complete surveys will be accepted and reimbursed. If you have any questions, please reach out to your supervisor or Daisia Williams, Project Manager and Member Support at NFCC, at dwilliams@nfcc.org.

NFCC Unit ID (5-digit number)(Required)

Please enter a number from 10000 to 99999.

Counselor Name(Required)

Age(Required)

Gender(Required)

Race(Required)

Ethnicity(Required)

Primary Language Spoken at Home(Required)

Education Level(Required)

Household Size(Required)

Select the number of individuals living in your residence including yourself.

Total household monthly net income (take home pay)(Required)

Employment Status(Required)

Sources of Income(Required)

Total debt owed at the time counseling began(Required)

Date the oldest credit/debt account was opened(Required)

Recurring medical expenses(Required)

What recent changes, if any, led you to reach out for credit couseling?(Required)

I was worried our food would run out before we received money to buy more within the past 12 months..(Required)

The food we bought didn’t last and we didn’t have money to get more within the past 12 months(Required)

Which of the following benefits do you currently use? (Select all that apply)(Required)

Food assistance (i.e. SNAP)

Medicare

Medicare Savings Programs

Extra help or low-income subsidy for prescription drugs

Free tax assistance (i.e. Tax Aide)

Paid Family Leave

Prefer not to answer

What other types of assistance do you receive? (i.e. meals on wheels, food pantry, etc.)(Required)

If your monthly debt payment was decreased by $50 each month, what would you do with that money?(Required)

Who We Are

Founded in 1951, the National Foundation for Credit Counseling is the oldest nonprofit financial counseling organization with a mission to help all Americans gain control over their finances. We support a network of committed member agencies to deliver high quality, practical financial education and counseling services.rnrn1,500+ NFCC certified credit counselors serve all U.S. states and territories, empowering millions of consumers to take charge of their finances. NFCC certified credit counselors offer one-on-one financial reviews that address credit card debt, mortgages and rentals, housing decisions, and money management.