Part 1: How well does this statement describe you or your situation?
This statement describes me Completely Very well Somewhat Very little Not at all
1. I could handle a major unexpected expense
2. I am securing my nancial future
3. Because of my money situation, I feel like
I will never have the things I want in life
4. I can enjoy life because of the way
I’m managing my money
5. I am just getting by nancially
6. I am concerned that the money I have
or will save won’t last
Part 2: How often does this statement apply to you?
This statement applies to me Always Often Sometimes Rarely Never
7. Giving a gift for a wedding, birthday or other
occasion would put a strain on my nances
for the month
8. I have money left over at the end of the month
9. I am behind with my nances
10. My nances control my life
Part 3: Tell us about yourself.
11. How old are you? 18- 61 62+
12. How did you take the questionnaire? I read the questions Someone read the questions to me
CFPB FINANCIAL WELL-BEING SCALE
Questionnaire
NAME OR NUMBER
1. Select the person’s answers, record the response value in the right hand column
and add up the total values for each part of the questionnaire.
This statement describes me Completely Very well Somewhat Very little Not at all
Response
value
1. I could handle a major unexpected expense 4
3 2 1 0
2. I am securing my nancial future
4 3 2 1 0
3. Because of my money situation, I feel like
I will never have the things I want in life
0 1 2 3 4
4. I can enjoy life because of the way
I’m managing my money
4 3 2 1 0
5. I am just getting by nancially
0 1 2 3 4
6. I am concerned that the money I have
or will save won’t last
0 1 2 3 4
Part 1 subtotal: ____________
This statement applies to me Always Often Sometimes Rarely Never
Response
value
7. Giving a gift for a wedding, birthday or other
occasion would put a strain on my nances
for the month
0 1 2 3 4
8. I have money left over at the end of the month
4 3 2 1 0
9. I am behind with my nances
0 1 2 3 4
10. My nances control my life
0 1 2 3 4
Part 2 subtotal: ____________
Total response value: ____________
CFPB FINANCIAL WELL-BEING SCALE
Scoring worksheet
NAME OR NUMBER
Total
response
value
Questionnaire
self-
administered
Questionnaire
administered
by someone else
18-61 62+ 18-61 62+
0 14 14 16 18
1 19 20 21 23
2 22 24 24 26
3 25 26 27 28
4 27 29 29 30
5 29 31 31 32
6 31 33 33 33
7 32 35 34 35
8 34 36 36 36
9 35 38 38 38
10 37 39 39 39
11 38 41 40 40
12 40 42 42 41
13 41 44 43 43
14 42 45 44 44
15 44 46 45 45
16 45 48 47 46
17 46 49 48 47
18 47 50 49 48
19 49 52 50 49
20 50 53 52 50
21 51 54 53 52
22 52 56 54 53
23 54 57 55 54
24 55 58 57 55
25 56 60 58 56
26 58 61 59 57
27 59 63 60 58
28 60 64 62 60
29 62 66 63 61
30 63 67 65 62
31 65 69 66 64
32 66 71 68 65
33 68 73 70 67
34 69 75 71 68
35 71 77 73 70
36 73 79 76 72
37 75 82 78 75
38 78 84 81 77
39 81 88 85 81
40 86 95 91 87
2. Find the nancial well-being score
How old is the person?
18-61 62+
How did the person take the questionnaire?
Self-administered
Administered by someone else
Because scores vary based on age and how
the questionnaire was administered, you must
convert the total response value to a nancial
well-being score.
a. Find the row that corresponds to the total
response value.
b. Follow that row across to the column that
corresponds to the person’s age and how the
questionnaire was administered.
c. Record the nal score.
Financial well-being score: _________________
Learn more at
consumernance.gov/nancial-well-being
Consumer F
inancial
Protection Bureau
