Please Tell Me What You Think

As your MP, I want to make sure that my work reflects your priorities. I would really appreciate it if you could help me by filling in the information below. Thank you very much for your time.

1. About You

About You Name:
Address:
Address 2:
ZIP/Postal Code:
Email Address:
Phone Number:

*
2. How do you prefer to be contacted?

How do you prefer to be contacted?

3. What is Most Important to you locally? Please rank these issues from 1 to 5 in order of importance WITH 1 BEING THE LEAST IMPORTANT AND 5 BEING THE MOST IMPORTANT TO YOU

What is Most Important to you locally? Please rank these issues from 1 to 5 in order of importance WITH 1 BEING THE LEAST IMPORTANT AND 5 BEING THE MOST IMPORTANT TO YOU Schools
Jobs
Traffic and Roads
Hospitals and local Health Services
Policing
Other (Please specify)

4. What is Most Important to you Nationally? Please rank these issues from 1 to 5 in order of importance to you, again with 5 being the MOST important

What is Most Important to you Nationally? Please rank these issues from 1 to 5 in order of importance to you, again with 5 being the MOST important The NHS
Economic Recovery
Supporting the Armed Forces
Education
Britain's Role in Europe
Other (Please Specify)

5. Would you tell me which Party you normally vote for at a General Election?

Would you tell me which Party you normally vote for at a General Election?

6. Would you like a Postal Vote application for the next Election? This means that you will be able to vote even if you are not at home on Election Day.

Would you like a Postal Vote application for the next Election? This means that you will be able to vote even if you are not at home on Election Day. Yes

7. Would you like a Proxy Vote for the Next Election? This will mean that someone else can cast your vote if you are not at home on the day.

Would you like a Proxy Vote for the Next Election? This will mean that someone else can cast your vote if you are not at home on the day. Yes

8. Are there any questions or issues which, if I could answer, would help you vote Conservative?

Are there any questions or issues which, if I could answer, would help you vote Conservative?

9. Would you be interested in helping me and the Conservative Party by:

Would you be interested in helping me and the Conservative Party by: Becoming a member

Putting up posters

Leafleting

Canvassing

Setting up or joining a branch in this area