According to the survey, 38 percent of respondents-five points less than in September-approved of Trump's job performance, while 58 percent disapproved.
Trump's previous low in the same poll was 39 percent in May.
NBC News notes that the voters who reported the biggest drop in their approval of Trump include independents, white Americans, and white Americans without a college degree.
During the same stage of their presidencies, the NBC/WSJ poll saw Democrat Barack Obama enjoying an approval rating of 51 percent, George W. Bush an approval rating of 88 percent, and Bill Clinton 47 percent.
The survey found almost twice as many people approved of Mr Trump's handling of hurricanes in Texas and Florida as disapproved - though the mass shooting in Las Vegas proved more divisive, with 33 percent disapproving and the same number approving. The most popular: By a 48 percent to 27 percent margin, Americans approve of Trump's handling of the aftermath of Hurricanes Harvey and Irma.
A majority of those polled, 59 percent, disapproved of Trump's attacks on NFL players who protest at games during the national anthem.
At the bottom: 29 percent agree with his handling of the aftermath of Hurricane Maria in Puerto Rico; 27 percent approve of his handling of health care; and 24 percent approve of his handling of the Iran nuclear deal.
Trump's relentless unpopularity is having a serious effect on voters' choices for Congressional control in 2018.
The poll had a margin or error of plus or minus 3.3 percentage points.
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