Poverty Survey
How many people in this household at present receive:
None
One
Two
Three
Other (Please Specify)
No Answer
Family Credit
Income Support
Job Seekers Allowance
Housing Benefit
Council Tax Benefit
Disability Working Allowance
Widow's Benefit
Sick Pay/benefit
Invalidity Pension
Attendance or Disability Living Allowance
(or Other disability benefit)
A State Retirement Pension
An occupational/private Pension
Please select how much you agree or disagree with each of the statements below:
I believe most people are poor because they are lazy and simply don't have the drive to go out and work.
Totally Agree
Agree
Neutral
Disagree
Totally Disagree
N/A
I believe we should end all foreign aid until we take care of poverty in this country.
Totally Agree
Agree
Neutral
Disagree
Totally Disagree
N/A
I believe people on welfare should not be forced to do any type of labor they consider to be below them. An engineer, for example, should not be forced to pick up garbage for the city or work as a custodian in a government building.
Totally Agree
Agree
Neutral
Disagree
Totally Disagree
N/A
I believe unmarried welfare mothers who continually have babies should have their welfare checks stopped.
Totally Agree
Agree
Neutral
Disagree
Totally Disagree
N/A
I believe minorities are poor because they have been mistreated. They were not given any job opportunities etc.
Totally Agree
Agree
Neutral
Disagree
Totally Disagree
N/A
I believe there is no excuse for anyone starving in America today.
Totally Agree
Agree
Neutral
Disagree
Totally Disagree
N/A
I believe poor people should receive all of the free medical help they need.
Totally Agree
Agree
Neutral
Disagree
Totally Disagree
N/A
I believe poor families should receive a free college education for their children.
Totally Agree
Agree
Neutral
Disagree
Totally Disagree
N/A
I believe there should be a limit on the amount of money a person can make in America.
Totally Agree
Agree
Neutral
Disagree
Totally Disagree
N/A
In the United States, I believe a person makes in income what his labor is worth.
Totally Agree
Agree
Neutral
Disagree
Totally Disagree
N/A
How common or uncommon each of these are in the area you live?
Very Common
Fairly Common
Not Very Common
Not At All Common
Noisy neighbors or loud parties
Graffiti on walls and buildings
Teenagers hanging around on the streets
Homeless people and/or people begging
Rubbish/litter lying around
Dogs and dog mess
Home and gardens in bad condition
Vandalism and deliberate damage to property
Insults or attacks to do with someone’s race or color
Gender
Male
Female
Prefer not to answer
Other
Age
Younger than 18
18-25
26-35
36-45
46-60
61 and older
Other
Marital Status
Married
Living Together
Widowed
Divorced
Separated
Never Married
Name (Optional)
First Name
Last Name
Email (To Receive Results)
example@example.com
Submit
Should be Empty: