Survey – Needs assessment

Welcome to Survey - Needs assessment

Thank you for agreeing to complete this confidential and anonymous questionnaire (34 questions, 10 minutes). There are no right or wrong answers; please answer as honestly as possible. Our goal is to assess the financial situation of your community and determine the interest in money management training. In short, to make money a solution, not a problem. Don't forget to click "Submit" to submit your answers.

Thank you in advance!

Sophie Paine, a+b=3 www.aandbmake3.org

How old are you ?

What is your marital status?

Number of family members living with you (including yourself):

adults:
children:

What are the two biggest problems you face?

How would you rate your financial situation on a scale from very good to very bad?

Very bad
Very good
Tick 3 to 5 sentences that best describe your current financial situation:

Have you ever skipped a meal due to lack of money in the past month?

Does your financial situation have an impact on:

Tick all that applies to you.

What are your sources of income?

(Tick all that apply)

Who is the main financial provider for your family?

How often do you receive your income (from all sources)?

(Please provide either a range or an average amount: for example, if you earn 5,000 per week, answer: 5,000 per week)

If you have a small business (trade, crafts, agriculture…), do you know if you are making a profit?

If you have a small business (trade, crafts, agriculture, etc.), who are your customers?

Tick all that apply.

What are your 5 biggest expenses?

How much do you spend on your main expenses (specify the frequency: for example: food: 1,000/day; rent: 30,000/month, etc.)?

Housing: per
Children's Education: per
Food: per
Transportation: per
Electricity, Gas, Water…: per
Telephone / Phone Cards: per
Celebrations / Parties: by
Debt Repayment: per
Healthcare: per
Beauty and Hygiene Products: per
Clothing: per
Leisure: per
Vacation: per 
Charity / Other Support People: per
Repairs, maintenance expenses: per
Other: per

Which expense is the most difficult to control?

How many times a day do you think about your financial situation?

Do you (or your family) have any debts?

If you have debts, why did you have to borrow?

If you have debts, who do you owe money to?

Do you have any savings?

How often do you manage to save?

If you had to pay for an urgent medical expense, where would you find the money to pay for it?

(tick 1 to 3 answers)

Do you have

Tick all that you have

Who makes the decisions about money in your family?

Is it easy or difficult for you to discuss and negotiate financial matters? (from 1 (easy) to 5 (difficult) N/A = does not apply)

Discussing a large purchase with your spouse
Getting your children to spend less
Asking a family member for more time to pay off a debt
Obtaining a loan from a bank/MFI
Asking a question to a bank/MFI employee
Getting what you want when buying or selling

Would you like to participate in a training course on the following topics?

Tick 1 to 3 topics that interest you most:

How would you like to learn?

Click on 'submit'.

Leave a Reply

Your email address will not be published. Required fields are marked *

one × two =