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Personal Financial Wellness & Money Habits Survey

Measures financial confidence, budgeting habits, and money stress for everyday consumers, with an AI follow-up that digs into the real story behind their biggest financial worry instead of a generic rating.

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Sample questions

A preview of what’s in the template. Every question is editable before you launch.

14 questions · ~7 min
Q01
Message

Thanks for taking a few minutes to talk about your money habits and financial confidence. There are no wrong answers — honest responses help most. About 5-6 minutes.

Q02
Multiple ChoiceRequired

Which best describes your current financial situation?

  • I'm falling behind on bills or debt
  • I'm getting by but have little left over
  • I'm comfortable and saving a little
  • I'm comfortable and saving a lot
  • I'm financially secure and building wealth
Q03
Opinion ScaleRequired

How confident are you that you could cover an unexpected $500 expense right now without borrowing money?

Scale: 1 – 7
Min:Not at all confidentMax:Extremely confident
Q04
MatrixRequired

Over the past few months, how often has each of these been true for you?

4 rows × 5 columns
  • I have money left over at the end of the month
  • I know roughly how much I spend on non-essentials each month
  • I have at least 3 months of expenses saved
  • I pay my full credit card balance each month
Columns: Never · Rarely · Sometimes · Often · Always
Q05
Multiple ChoiceRequired

In the last 30 days, how often did you check your bank account balance?

  • Never
  • A few times a month
  • About once a week
  • Several times a week
  • Daily
Q06
RankingRequired

Rank these financial goals from most to least important to you right now.

  1. Paying off debt
  2. Building an emergency fund
  3. Saving for retirement
  4. Saving for a home purchase
  5. Funding education
  6. Saving for travel or leisure
Drag to rank
Q07
Point AllocationRequired

If you unexpectedly received $1,000 today, how would you split it across these priorities?

  • Pay down debt
  • Add to emergency savings
  • Invest for the future
  • Cover immediate needs
  • Spend on something for myself
Allocate 100 points
Q08
AI Interview

Anchor on the respondent's confidence rating for covering an unexpected expense. If it was low, dig into the single biggest thing worrying them about money right now, what they've already tried, and what's stopped it from working. If it was high, probe which specific habits or decisions got them there so we can identify replicable behaviors. In both cases, ask for one concrete recent example rather than a general statement.

Q09
Rating ScaleRequired

How satisfied are you with the tools or resources you currently use to manage your money?

Range: 1 – 5
Min:Very dissatisfiedMax:Very satisfied
Q10
Multiple Choice

Which of these do you currently use to manage your finances?

  • Budgeting app (e.g., Mint, YNAB)
  • Spreadsheet
  • Bank's built-in budgeting tools
  • Financial advisor
  • Investment or robo-advisor app
Q11
Multiple Choice

What is your age range?

  • 18-24
  • 25-34
  • 35-44
  • 45-54
  • 55-64
  • 65 or older
  • Prefer not to say
Q12
Dropdown

What is your approximate annual household income?

  • Under $25,000
  • $25,000-$49,999
  • $50,000-$74,999
  • $75,000-$99,999
  • $100,000-$149,999
  • $150,000 or more
  • Prefer not to say
Q13
Multiple Choice

What is your current employment status?

  • Employed full-time
  • Employed part-time
  • Self-employed
  • Unemployed
  • Retired
  • Student
  • Prefer not to say
Q14
Message

That's everything — thank you for your honesty. Your responses feed into an aggregated report on financial confidence and habits; no individual answers are shared.

What’s included

  • AI follow-ups

    Adaptive probes on open-ended answers that pull out detail a static form would miss.

  • Attention checks

    Built-in safeguards against rushed answers and low-quality respondents.

  • AI-drafted copy

    Wording, ordering, and branching written by the AI — tuned to your research goal.

  • Auto report

    Themes, quotes, and a plain-English summary write themselves once responses come in.

How it compares

We reviewed the closest templates from other survey tools. Here’s what they do well — and where this template goes further.

Why this template

  • Goes beyond a single confidence rating with an AI follow-up interview that specifically anchors on the respondent's unexpected-expense confidence score and digs into the real story behind their biggest financial worry.
  • Combines quantitative structure (opinion scale, matrix, ranking, and constant-sum budget allocation for a hypothetical $1,000) with qualitative depth in one flow, rather than relying on static rating questions alone.
  • Captures both current money management tools and behavioral frequency (bank-checking habits) alongside demographics, giving a fuller picture than a single financial-situation snapshot.
  • Closes with a transparent note that responses feed into an aggregate report, and every AI probe follows a disclosed prompt rather than a hidden black-box script.

Jotform

Personal Financial Statement Form Template

This is a static data-collection form for recording assets, liabilities, and net worth (a financial statement) rather than an attitudinal survey on money habits or stress. It's fielding-ready as a form but not built to explore confidence, budgeting behavior, or emotional context around money.

What it does well

  • Drag-and-drop form builder with wide template variety
  • Familiar for structured financial disclosure/document-style data entry
  • Easy to embed or share for quick data collection

Where it falls short

  • No adaptive AI follow-up to probe deeper into a respondent's financial worries — it's a fixed field form
  • No per-response quality scoring or automated interview reporting
  • Not designed to measure confidence, stress, or habits — it's a statement/disclosure form, not a behavioral survey

QuestionPro

Personal Finances Survey Questions + Sample Questionnaire Template

This page offers a genuine personal finances survey questionnaire with sample questions on spending, saving, and financial attitudes, making it a closer comparator. It reads as a template/question bank you customize and field yourself rather than an interview-driven experience.

What it does well

  • Established survey platform with logic/branching and reporting tools
  • Sample questionnaire covers similar ground (habits, attitudes) to guide survey design
  • Backed by broader survey research and panel features

Where it falls short

  • No adaptive AI interview that follows up on an individual's specific worry in real time
  • No voice AI interview option or guided screen-share tasks
  • No transparent, disclosed AI prompt methodology or automated per-response quality scoring

Typeform

Personal Financial Statement Form Template

Like Jotform's version, this is a financial statement-style form (assets, liabilities, income) with Typeform's conversational one-question-at-a-time interface, not a survey measuring financial confidence or stress. It's polished and fielding-ready for form collection, but not for behavioral or attitudinal research.

What it does well

  • Clean, conversational one-question-at-a-time UI known for higher completion rates
  • Strong mobile responsiveness and visual customization
  • Easy embedding and simple logic branching

Where it falls short

  • No AI-driven follow-up questioning — all questions are pre-written and static
  • Not designed to measure money stress, habits, or confidence; it's a financial statement intake form
  • No automated quality scoring or AI-generated aggregate insights report

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