National Dialogue
Values Survey


Welcome to the first survey of the National Dialogue on Social Security. Its purpose is to learn more about participants' views on Social Security and to encourage individuals to think about the aspects of the program that are important to them.

The requested demographic information will be used for statistical purposes only. Persons who have already registered for the National Dialogue need only enter the E-mail address they used when registering. If you have not yet registered for the National Dialogue, please complete all the requested fields. Thank you.


  Last Name:

  First Name:

  E-Mail*:

  State:
  Zip:

  Gender:
  Age:

  Ethnicity:
  Education:

  Employment:
  Income:

1. Social Security means different things to different people. What are your present views on Social Security?

2. Should Social Security be primarily an individual savings program or a broad social insurance system?
Individual Savings
Broad Social Insurance
Need more information
3. Should a purpose of Social Security be to reduce the incidence of poverty in the old age population?
Yes
No
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4. Should the Social Security system provide protection for disability and for the family in the event of premature death?
Yes
No
Need more information
5. What aspects of the Social Security reform discussion are you most interested in learning more about?
     


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