Exit

Question Title

* 1. Name

Question Title

* 2. Email

Question Title

* 3. Gender

Question Title

* 4. Level of education

Question Title

* 5. What is your occupation outside of politics? Have you ever worked in healthcare/ advocacy?

Question Title

* 6. Generally speaking, do you usually think of yourself as a Republican, a Democrat, an Independent, or something else?

Question Title

* 7. What position are you pursuing?

Question Title

* 8. Is healthcare reform one of your top three platform issues?

Question Title

* 9. Why are you running for office and is healthcare (i.e. medical, mental health, environmental) apart of your message? What are your views on mental health issues such as voter intimidation, domestic extremist groups, and the January 6th storming of the Capitol?

Question Title

* 10. In 2020, healthcare (COVID19) was the leading concern among voters. Which healthcare plan do you favor? There are many to choose from: Medicare for All, Affordable Care Act (Obama Care), American Health Care Act (Trump Care), Private Insurance, or other?

T