2016 Political Survey

Question Title

* 1. Contact Information

First and Last Name

ZIP/Postal Code

Email Address

Phone Number

Question Title

* 2. Which of the following political activities are you interested in participating in? (Select all that apply).

Candidate Interviews

Phone Banking

Doorbelling

Endorsement Planning

Sharing Information with co-workers

Voter Registration

Other (please specify)

Question Title

* 3. Which elections would you like to be involved with?

State House

State Senate

Governor

Ballot Initiatives

Levies

Presidential (If so, which candidate?)

Question Title

* 4. Are there any specific candidates you’d like to work with? If so, which ones?

Question Title

* 5. Have you participated in political work with the local before?
If so, what do you think worked well?
What do you think we could do differently this year?