HeySurvey survey

Financial Well-Being & Support Check-In 💬

How often do money worries affect your daily life?*

Think about stress related to bills, debt, savings, or basic needs.

1

2

3

4

5

Never to Very often

Which of the following financial pressures are you dealing with right now?*

Select all that apply. Choose the ones that most affect your situation.

Paying rent or housing costs
Food or grocery costs
Medical bills
Credit card or loan debt
Childcare or family care expenses
Transportation costs
Irregular income
None of the above
Prefer not to say

In the past 12 months, have you delayed any of the following because of cost?*

This helps identify where financial strain may be affecting your well-being.

Medical care
Mental health support
Prescription medication
Utility payments
Food purchases
Rent or mortgage payments
Education or training
I have not delayed any of these
Prefer not to say

How safe do you currently feel in your housing situation?*

Please answer based on your current living arrangement.

1

2

3

4

5

Very unsafe to Very safe

Have you experienced any of these personal challenges recently?

Select any that you feel comfortable sharing.

Anxiety or ongoing stress
Depression or low mood
Burnout
Family or relationship conflict
Grief or loss
Substance use concerns
Feeling isolated
None of the above
Prefer not to say

Have you ever avoided asking for help because of embarrassment, stigma, or fear of judgment?*

This can include financial, emotional, medical, or personal support.

Yes, often
Yes, sometimes
No
Unsure
Prefer not to say

What is the biggest sensitive issue affecting your quality of life right now?

Share only what you are comfortable sharing.

How comfortable would you feel using confidential support resources if they were available?*

Examples may include counseling, financial guidance, emergency aid, or peer support.

1

2

3

4

5

Not at all comfortable to Very comfortable

Is there anything else you want us to understand about your situation?

You can mention barriers, concerns, or the kind of support that would help most.

Thank you for taking a part in this survey.