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pdfCFPB FINANCIAL WELL-BEING SCALE
Questionnaire
NAME OR NUMBER
Part 1: How well does this statement describe you or your situation?
This statement describes me	
Completely	 Very well	
Somewhat	 Very little	 Not at all
1.	 I could handle a major unexpected expense	
	
	
	
	
2.	 I am securing my financial future	
	
	
	
	
3.	 Because of my money situation, I feel like
I will never have the things I want in life	
	
	
	
	
4.	 I can enjoy life because of the way
I’m managing my money	
	
	
	
	
5.	 I am just getting by financially	
	
	
	
	
6.	 I am concerned that the money I have
or will save won’t last	
	
	
	
	
Part 2: How often does this statement apply to you?
This statement applies to me	
Always	
Often	
Sometimes	
Rarely	
7.	 Giving a gift for a wedding, birthday or other
occasion would put a strain on my finances
for the month	
	
	
	
	
8.	 I have money left over at the end of the month	
	
	
	
	
9.	 I am behind with my finances	
	
	
	
	
10.	My finances control my life	
	
	
	
	
Never
Part 3: Tell us about yourself.
11.	How old are you?	
18-61	
62+
12.	How did you take the questionnaire? 	
I read the questions	
Someone read the questions to me
| File Type | application/pdf | 
| File Modified | 2017-01-19 | 
| File Created | 2015-12-11 |