Senate-2009

Introduction

THANK YOU for your participation in this survey. I appreciate you taking the time to tell me what it is you want out of a United States Senator. I am curious to know what other citizens feel is important, and what should be the focus of a U.S. Senator when they make it to Washington, D.C., having been elected to dutifully represent the people of their state. I don't work for any political organization, nor do I have any political aspirations besides my own.

Please be assured that your answers to this survey are completely confidential, and will be used only in combination with the responses of other survey respondents. You can feel free to share your contact information with me so that we can connect, or remain completely anonymous. The choice is up to you. All I ask is for each question, please mark the answer or answers that come closest to describing your situation, opinion, or assessment.

If you'd like to leave the survey at any time, just click "Exit this Survey".

1. Please Tell Me About Yourself, if you'd like to keep in touch with me and my campaign.

Please Tell Me About Yourself, if you'd like to keep in touch with me and my campaign. Name:
Address:
City/Town:
State:
ZIP:
Email Address:

2. Please Tell Me A Bit More About Yourself.

	Age Range	Annual Household Income
Choose one:	Please Tell Me A Bit More About Yourself. Choose one: Age Range	Annual Household Income

3. What is the most important thing that needs to be improved in our country?

What is the most important thing that needs to be improved in our country?

4. What else do you want to see improved in our country?

What else do you want to see improved in our country?

5. What could an elected official do to make this country a better place?

What could an elected official do to make this country a better place?

6. Do you find the work your current elected official is doing on your behalf to be useful to you?

Do you find the work your current elected official is doing on your behalf to be useful to you? Yes

Please Explain Your Answer

7. If you were willing to make a campaign donation to support my efforts to get elected, how much would you be willing to donate?

If you were willing to make a campaign donation to support my efforts to get elected, how much would you be willing to donate? $ 5 or less

$ 5 - 10

$11 - 25

$25 - 50

$51 - 75

$76 - 99

$100 or more

8. Any other comments or suggestions you'd like to share.

Any other comments or suggestions you'd like to share.

100%