すべてのテンプレート
Finance & Insurance

Consumer Financial Confidence, Savings & Debt Stress Survey

Measures household financial confidence, savings buffer adequacy, debt stress, and behavioral coping strategies. Designed for consumer research panels to track financial resilience and segment by financial health.

設問の例

テンプレートの内容をプレビューできます。すべての設問は公開前に自由に編集できます。

全23問・約10分
Q01
メッセージ

Welcome, and thank you for participating in this survey about household finances. This survey asks about your financial outlook, savings, debt, and recent financial decisions. It should take approximately 11 minutes to complete. Your participation is entirely voluntary, and you may stop at any time. There are no right or wrong answers — we are interested in your honest opinions and experiences. All responses are confidential and will be reported only in aggregate. Please click 'Next' to begin.

Q02
オピニオンスケール

How confident are you in your household's financial situation over the next 12 months?

スケール: 1 – 7
最小:Not at all confident最大:Very confident
Q03
選択式

Do you currently have any liquid savings you could access within 7 days?

  • Yes
  • No
Q04
選択式

Do you currently carry any debt (e.g., credit cards, loans, BNPL)?

  • Yes
  • No
Q05
選択式

Which of the following actions, if any, have you taken to manage your cash flow in the last 30 days? Select all that apply.

  • Delayed a planned purchase
  • Used savings to cover expenses
  • Carried a balance on a credit card
  • Borrowed from friends or family
  • Used Buy Now, Pay Later (BNPL)
  • Postponed a bill payment
  • None of the above
Q06
自由回答(長文)

Based on your responses in this survey, is there anything else you'd like to share about your current financial situation or the decisions you're making?

Q07
選択式

What is your age?

  • 18–24
  • 25–34
  • 35–44
  • 45–54
  • 55–64
  • 65 or older
  • Prefer not to say
Q08
メッセージ

Thank you for completing this survey. Your responses have been recorded and will be treated confidentially. We appreciate your time.

Q09
選択式

Over the next 6 months, do you expect your total household income to:

  • Increase
  • Stay about the same
  • Decrease
  • Not sure
Q10
プルダウン

Approximately how many months of essential expenses could your current savings cover?

  • 0 — no savings buffer
  • Less than 1 month
  • 1–2 months
  • 3–5 months
  • 6–11 months
  • 12 months or more
  • Not sure
Q11
選択式

Which types of debt do you currently have? Select all that apply.

  • Credit card balance
  • Auto loan/lease
  • Student loan
  • Mortgage/home loan
  • Personal loan
  • Buy Now, Pay Later (BNPL)
  • Overdraft
  • Other
Q12
ランク付け

If you received an extra 100 units of your local currency this month, how would you prioritize spending it? Please rank from highest to lowest priority.

  1. Short-term savings / emergency fund
  2. Debt repayment
  3. Essential expenses
  4. Discretionary spending
  5. Investing / long-term goals
ドラッグして順位を付ける
Q13
AIインタビュー

We'd like to understand your financial decisions in a bit more depth. An AI moderator will ask you a couple of brief follow-up questions based on your earlier responses.

Q14
選択式

What is your gender?

  • Man
  • Woman
  • Non-binary
  • Prefer not to say
Q15
選択式

Compared with 12 months ago, would you say your financial cushion (savings relative to expenses) is:

  • Stronger
  • About the same
  • Weaker
  • Not sure
Q16
選択式

In the last 3 months, how often did you add money to savings?

  • Weekly
  • Monthly
  • Less than monthly
  • Not at all
Q17
オピニオンスケール

In the last 30 days, how stressed have you felt about your debt obligations?

スケール: 1 – 7
最小:Not at all stressed最大:Extremely stressed
Q18
プルダウン

Where do you currently live?

  • United States
  • United Kingdom
  • Canada
  • Australia
  • Europe
  • India
  • Other
Q19
オピニオンスケール

How confident are you that you will reach your savings goals this year?

スケール: 1 – 7
最小:Not at all confident最大:Very confident
Q20
オピニオンスケール

How difficult is it for you to make your required minimum payments this month?

スケール: 1 – 7
最小:Not at all difficult最大:Extremely difficult
Q21
選択式

What is the highest level of education you have completed?

  • Some high school or less
  • High school diploma or equivalent
  • Some college / associate degree
  • Bachelor's degree
  • Postgraduate degree
  • Prefer not to say
Q22
選択式

Have you missed or been late on any bill or loan payment in the last 90 days?

  • Yes
  • No
  • Prefer not to say
Q23
選択式

What is your current employment status?

  • Employed full-time
  • Employed part-time
  • Self-employed
  • Unemployed and looking
  • Unemployed and not looking
  • Student
  • Retired
  • Prefer not to say

含まれる機能

  • AIによる深掘り

    自由回答に合わせてAIが追加で質問し、固定のフォームでは拾えない具体的な内容を引き出します。

  • 注意確認設問

    急いだ回答や質の低い回答者を除外する仕組みを標準で備えています。

  • AIが作成する設問文

    文言、設問の順序、条件分岐をAIが調査の目的に合わせて作成します。

  • 自動レポート

    回答が集まると、テーマ、引用、わかりやすい要約が自動で作成されます。

他ツールとの比較

ほかのアンケートツールで最も近いテンプレートを調べました。それぞれの優れている点と、このテンプレートがさらに踏み込んでいる点をまとめています。

このテンプレートを選ぶ理由

  • Combines quantitative confidence, savings-buffer, and debt-stress scales with a dedicated AI follow-up interview that probes the reasoning behind each household's financial decisions in more depth
  • Includes a ranking exercise on how respondents would allocate a hypothetical windfall, giving behavioral insight beyond simple multiple-choice questions
  • Captures coping behaviors (missed payments, cash-flow actions) alongside financial health metrics, enabling segmentation by financial resilience and demographics
  • Backed by transparent, inspectable prompts and automated report generation, available on a free tier or the $50/mo Business plan

Jotform

Four-Minute Financial Health Check Form Template

A short, fielding-ready static form aimed at quickly gauging a respondent's financial health rather than deep behavioral segmentation. It's built for speed and simplicity rather than depth of insight into debt stress or coping strategies. Good for a lightweight check-in, but lacks the structured savings/debt/coping-behavior breakdown QuestionPunk's template provides.

優れている点

  • Fast, low-friction form intended to be completed in a few minutes
  • Standard Jotform drag-and-drop builder with mobile-friendly layouts
  • Likely easy to embed or share via link for quick pulse checks

物足りない点

  • Static question set with no adaptive AI follow-up to probe individual financial situations further
  • No automated per-response quality scoring or AI-generated report synthesis
  • No voice-based interview option or guided screen-share task capability

よくあるご質問

「Consumer Financial Confidence, Savings & Debt Stress Survey」テンプレートにはどのような設問が含まれていますか?

すぐに使える設問が23問含まれており、最初の設問は次のとおりです:「Welcome, and thank you for participating in this survey about household finances. This survey asks about your financial…」・「How confident are you in your household's financial situation over the next 12 months?」・「Do you currently have any liquid savings you could access within 7 days?」。すべての設問は上でプレビューでき、自由に編集できます。

このアンケートの回答にはどのくらい時間がかかりますか?

回答者は通常、23問を約10分で回答し終えます。

テンプレートは編集できますか?

はい。公開前であれば、すべての設問、選択肢、順序を編集できます。設問の追加や削除のほか、調査の目的に合わせた作り直しをAIエディターに依頼することもできます。

このテンプレートは無料で使えますか?

はい。エディターで開けば、すぐに編集を始められます。お試しにアカウントは不要で、無料プランでアンケートを公開できます。

公開の準備はできましたか?

このテンプレートをエディターで開いてみてください。最初の回答者が目にする前に、すべてを自由に変更できます。

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