| Question | Answers | Source | Source Link | Dates Used | |
|---|---|---|---|---|---|
| 1 | Do you currently have overdue bills and/or debt? By this we mean rent, mortgage, utility, medical, student loan, credit card, or other bills that are past due. Please also consider money you have borrowed from family or friends that you need to repay. | • Yes • No | Donna Pavetti at Center on Budget Policy and Priorities | NA | 04/14/2021-04/16/2021 04/28/2021-05/01/2021 05/12/2021-05/15/2021 06/09/2021-06/11/2021 |
| 2 | How much do you owe for each of the following that is past due or unpaid? If you do not know the exact amount, please do you best to estimate to the nearest $1,000. If you do not have any debt in the category, please enter a 0. | • Rent (past due)__ • Mortgage payments (past due)__ • Medical bills (past due)__ • Utility bills (past due)__ • Credit card balances__ • Student loan balances__ • Loans from family or friends__ • Other unpaid bills__ | Donna Pavetti at Center on Budget Policy and Priorities | NA | 04/14/2021-04/16/2021 04/28/2021-05/01/2021 05/12/2021-05/15/2021 06/09/2021-06/11/2021 |
| 3 | Have you used any of the following to reduce your debt in the last month? (select all that apply): | • Tax refund • Stimulus payment • Housing assistance • Utility assistance • Employment income • Loans from family or friends • Other (please specify): | NA | 04/14/2021-04/16/2021 04/28/2021-05/01/2021 05/12/2021-05/15/2021 06/09/2021-06/11/2021 | |
| 4 | How does the amount of debt you have now compare to the amount of debt you had in February 2020 (before the pandemic)? | • Much lower • Slightly lower • About the same • Slightly higher • Much higher | Donna Pavetti at Center on Budget Policy and Priorities | NA | 04/14/2021-04/16/2021 04/28/2021-05/01/2021 05/12/2021-05/15/2021 06/09/2021-06/11/2021 |
| 5 | When you don’t have enough money to pay all your bills, how do you decide which bills to pay? | Open ended response | Donna Pavetti at Center on Budget Policy and Priorities | NA | 04/14/2021-04/16/2021 04/28/2021-05/01/2021 05/12/2021-05/15/2021 06/09/2021-06/11/2021 |
| 6 | What would you like your policymakers to know about your debt, including the debt you’ve accrued during the pandemic? | Open ended response | Developed by RAPID team | NA | 04/28/2021-05/01/2021 05/12/2021-05/15/2021 06/09/2021-06/11/2021 |