Income Level Survey Form Template

*
Which age group do you belong to?
Under 22
22–30
31–45
46–60
Over 60
*
Employment status
Full-time employed
Part-time / Freelance
Self-employed / Business owner
Student
Unemployed / Retired
*
Monthly personal pre-tax income
Below $2000
$2000–$4000
$4000–$7000
$7000–$10000
Above $10000
Decline to state
*
Main source of personal income
Monthly salary
Business operating revenue
Part-time & side hustle
Investment return
Pension / family support
Other sources
*
Household total monthly income
Below $3500
$3500–$6000
$6000–$9500
$9500–$15000
Over $15000
Prefer not to answer
*
Average monthly living spending proportion of income
Over 80%
50%–80%
30%–50%
Below 30%
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