37 VOICES - INCOME SURVEY

As part of our efforts to tell the stories of the many people struggling in New Jersey to get by, we have developed a survey on income, expenses and banking that we hope will present a fuller picture of the issues people are facing. The information we collect from the survey will be used in our storytelling, but only if you are comfortable with the information being made public.

Thanks in advance for reviewing the survey and completing it.

Name
Name
EMPLOYMENT / INCOME
What kind of work are you presently doing?
In what vocation/profession are you trained?
$
About how much do you make per month from all sources?
$
Please include employment income, employer benefits, government benefits and aid, personal aid from family and friends.
MONTHLY EXPENSES
Please include cable, internet, and phone expenses
$
Please include car payment, insurance, fuel, car repairs, and maintenance
$
$
$
$
$
$
ASSETS / BANKING
Bank Accounts
Please check all of the types of accounts that you have
If you don't use any banking services, how do you pay your bills? (Money orders, cash, other)
How much, if anything, do you have in savings?
$
Do you have a retirement account or pension (aside from social security)?
How much have you accumulated?
$
Home and Car Ownership
Do you own a home or car? Please check all that apply.
How often do you need to do maintenance or repairs on your home or car? What kind of maintenance?