More people in some key counties President Trump Donald John TrumpUS reimposes UN sanctions on Iran amid increasing tensions Jeff Flake: Republicans 'should hold the same position' on SCOTUS vacancy as 2016 Trump supporters chant 'Fill that seat' at North Carolina rally MORE carried in the 2016 presidential election say the U.S. is worse off now than say it is better off, according to a new survey.

An NBC News/Wall Street Journal poll surveyed residents of 438 counties that saw a surge last year for Trump or flipped to vote Republican in the 2016 election after previously going for President Obama in 2012.

The poll found 32 percent of people in those "Trump counties" think the country is better off now than it was before Trump assumed office.

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But 41 percent think the country is worse off.

A majority of people surveyed, 53 percent, don't think the president has a clear agenda.

Nearly half of respondents, 48 percent, said they approved of Trump's job performance. But 50 percent of respondents disapproved of the president's job performance.

Fifty-six percent of respondents in the counties said they were satisfied with Trump's work to improve the economy. A majority of respondents also said they were satisfied with his work to keep America safe.

Trump received lower marks for his ability to improve the health care system, improve race relations and help unite the country, however.

The poll was conducted from Nov. 1 to 4 among 800 respondents. The margin of error is 3.46 percentage points.