Identity Theft Assessment Identity Theft AssessmentPlease enable JavaScript in your browser to complete this form.Name *FirstLastDISCLAIMER: Your information and data collected will be held in strict confidence. Your name will not be openly shared or connected with any of your responses, nor will we identify you with your responses to third parties without your consent. Please refer to https://prfinstitute.org/privacy-policy/ for further details.Email *EmailConfirm EmailZip Code *Are you an active member of a church or other religious organization? *YesNoD1. Age Range18 to 2425 to 3435 to 4445 to 5455 to 6465 to 7474+D2. Race/Ethnicity *Black/African-AmericanWhite/CaucasianHispanic/LatinoAsianNative AmericanPrefer not to answerD3. Marital status (as of today) *Single (never married)MarriedDivorcedDivorced and Re-marriedWidowedSeparatedPrefer not to answerD4. Number of children (or dependents) *This is to help us measure how many persons within a family unit that we could potentially assist. Enter N/A if you prefer not to answer.D5. Employment status (primary) *EmployedUnemployedRetiredSelf-employedMilitaryStudentOtherPrefer not to answerD6. GenderMaleFemale#1: How much have you considered you could be or are currently a victim of identity theft? *I have not considered it.I haven’t given much thought about it.I have occassionally considered it.I’ve considered it a lot.#2: Have you ever received a data breach notice from the U.S. Government or private entity informing you that your personal information was/may have been hacked? *NoI don't think soYes#3: Do you know of anyone (self, family, friend, etc.) that has been a victim of identity theft? *YesNo#4: Identity theft will only occur from people who you DO NOT know. *TrueFalse#5: How often should you change your logins and passwords for your online banking, ATM pin codes, email addresses, etc.? *MonthlyQuarterlyYearlyI’m not sureOnly when notified that my identity or money is at risk.N/A – I never used these before#6: Who have you given legal authority to make financial decisions on your behalf? (i.e. POA) *SpousePartnerFamily memberFriendReligious leaderNobodyOther#7: At least 26% of people affected by identity theft had to borrow money from family or friends. Who could you really turn to for financial help if you become a victim? *FamilyFriendsFinancial InstitutionsNobodyReligious organizationI don’t know#8: Honestly, how often do you reconcile your monthly bank and credit card statements? *MonthlyWeeklyWhen preparing for tax seasonMy spouse/partner takes care of thisAs neededI don't#9: Do you know which steps to take or who to contact if you suspected your identity has been stolen or compromised? *Not at allI think soDefinitely#10: What would you most likely do with unsolicited credit applications received via mail? *I don’t knowThrow in the trashShredFill it out and apply#11: The two most common types of identity theft are employment and credit card fraud. *TrueFalse#12: Most victims of identity theft have no idea they are victims until at least 3 months later. *TrueFalseEmailSubmit
