COVID-19 Impact to Members Survey
The reason for this survey is for the UL Federal Credit Union to get a better understanding of how COVID-19 may have impacted our members.
* Required
First and Last Name
*
Your answer
Age
*
Your answer
City/State
*
Your answer
Email Address
*
Your answer
Phone Number
*
Your answer
Have you or someone in your household lost their job due to COVID-19?
*
Yes
No
Yes, but I/we have found a new job
Did you use one of our COVID-19 services, including skip-a-pay? (In 2020)
*
Yes
No
Other:
What is your household's total amount of income?
*
Under $15,000
Between $15,000 and $29,999
Between $30,000 and $49,999
Between $50,000 and $74,999
Between $75,000 and $99,999
Between $100,000 and $150,000
Over $150,000
Have you or someone in your household needed to take out a loan due to the impacts of COVID-19?
*
Yes
No
Did you or someone in your household take advantage of low rates by buying or refinancing your home or vehicle during 2020/2021?
*
Yes, Both
Yes, House
Yes, Vehicle
No
Other:
What type of information and/or support do you need the most right now?
*
Your answer
Submit
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google.
Report Abuse
-
Terms of Service
-
Privacy Policy
Forms
