Survey One is composed of three parts: personal information, retirement plans, and knowledge of retirement programs and financial markets. You are requested to complete each part of the survey before the program begins. Completion of the survey should require about 10 minutes.
I.A. Personal Information
This section of Survey One contains a series of questions about you, your work history, and your current financial status. Responses to these questions will provide baseline information for the research. At the end of this section, we will ask you additional information about your spouse or partner.
1. In what year were you born? ____________
2. What is your gender? _______ male _______ female
3. What is your household or family status? ________Never married
________Married ________Divorced ________Widowed ________Separated
________Living with partner
4. In what year did you begin working for <company name>? ___________
5. What is your current state of residence? _______________
6. Do you anticipate moving to another state after retirement? _______ yes
_______ no
7. What is your education level? _______ less than high school _______ high school or GED _______ some college but no degree _______ college degree
_______ any post-graduate degree
8. Last year, what were your total earnings, including earnings from <company name> and any other payments you may have had from other employers (do not include income earned by other members of your household or income from interest, rents, or dividends)?
________ less than $25,000 ________ $25,001 to $50,000 ________ $50,001 to $75,000 ________ $75,001 to $100,000 ________ $100,001 to $150,000 ________ over $150,000
9. Do you currently have a Savings Incentive Plan account with <company name>? _______ yes
_______ no (skip to question 13)
10. What is the total value of your Saving Incentive Plan (do not include the value of retirement plans held by your spouse or partner)?
________ less than one year salary. ________ one to two years salary. ________ three to five years salary. ________ more than five years salary.
11. If you have Savings Incentive Plan account, are you still contributing to this account? ________ yes, I am contributing the maximum amount allowed by law
________ yes, but I am contributing less than the maximum allowable amount ________ yes, but I do not know the maximum allowable contribution
________ no, I am not currently contributing to any of these retirement plans
12. Over the past 5 years, have you usually been contributing the maximum amount allowed by law?
_______ yes _______ no
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13. In addition to the Savings Incentive Plan, are you also covered by a pension plan offered by <company name>?
_______ yes
_______ no (skip to question 15 )
14. What is the earliest age that you can retire and start receiving benefits from the plan? ________
15. In the last 12 months, have you run a pensions/retirement projection on the Benefits Direct?
_______ yes _______ no
16. What is the total value of the stocks, bonds, and savings accounts that you own outside of the retirement plans offered by <company name> (include any 401(k), 403(b) or 457 plans or IRAs you have from previous employers; do not include retirement plans owned by your spouse or partner)? ________ less than $25,000 ________ $25,001 to $50,000 ________ $50,001 to $75,000 ________ $75,001 to $100,000 ________ $100,001 to $250,000 ________ over $250,000
17. Do you own your home? _______ yes
_______ no (skip to question 20)
18. If you own your home, what is your estimate of your equity in your home (market value of your home less any mortgages or debt owed on the home)?
_________ $50,000 or less _________ $50,001 to $100,000 _________ $100,001 to $150,000 _________ $150,001 to $200,000 _________ over $200,000 _________ don’t know
19. If you own your home, do you expect to have all mortgages on this property paid off when you retire?
________ yes, I currently have no outstanding mortgage on my home ________ yes, I will pay off the mortgage before I retire
________ no, I will still have a mortgage on my home when I retire
20. What sources of information have you used prior to attending this program on important financial and retirement decisions? (check all that apply)
______ family and relatives ______ colleagues and friends
______ <company name> benefit office
______ One-on-one telephone counseling (The Ayco AnswerLine® service) ______ internet
______ newspapers, planning books, and business magazines ______ financial advisor
______ current provider of your Savings Incentive Plan ______ Financial planning websites
21. Do you think that with Social Security, your pension, and your personal saving along with those of your spouse or partner, you will have sufficient resources to have the type of retirement that you desire?
______ yes ______ no
22. Which of the following statements best describes the reason you decided to attend this program?
______ I do not know much about <company name>’s pension plan or Social Security and I need to learn more before making my final retirement plans.
______ I am relatively confident in my knowledge about <company name>’s pension plan and Social Security and have used this knowledge to develop my retirement
plans but I am using this program as a type of retirement checkup.
______ I am very confident of my knowledge about <company name>’s pension plan and Social Security but just wanted to use this program as a final planning experience before making my retirement decisions.
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