GM5.3L CA Survey

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* 1. Contact Information

Name

Address

City/Town

State/Province

ZIP/Postal Code

Email Address

Phone Number

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* 2. What is your gender?

Female

Male

Other

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* 3. Date of Birth

Date

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* 4. I am:

Single

Married

Divorced

Widowed

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* 5. I live:

Alone

With others (i.e. partner, spouse, family members or friends)

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* 6. What is your ethnicity? (Please select all that apply.)

American Indian or Alaskan Native

Asian or Pacific Islander

Black or African American

Hispanic or Latino

White / Caucasian

Prefer not to answer

Other (please specify)

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* 7. Are you employed?

Yes

Retired

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* 8. Please list your current position.

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* 9. If unemployed or retired, please list most recent position.

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* 10. What is the highest level of education you have completed?

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* 11. Do you have children?

Yes

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* 12. Are you a registered voter?

Yes

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* 13. Political party affiliation

Registered Democrat

Registered Republican

Registered Independent

Undecided

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* 14. What is the last election you voted in?

2020

2016

Before 2016

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* 15. With regard to jury service, I...

am eligible for jury service, but have never been contacted

have been called to report for jury service, but was not selected for a case

have served as a juror on a civil case

have served as a juror on a criminal case

am not eligible to serve on a jury because of a previous criminal conviction

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* 16. How concerned are you about air pollution?

Extremely concerned

Very concerned

Moderately concerned

Slightly concerned

Not at all concerned

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* 17. Should the United States government's laws restricting pollution be more strict, less strict, or about the same as they are now?

Much more strict

Somewhat more strict

Slightly more strict

About as strict as they are now

Slightly less strict

Somewhat less strict

Much less strict

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* 18. Is the United States government spending too much time trying to reduce global warming, too little time, or about the right amount of time?

Much too much

Somewhat too much

Slightly too much

About the right amount

Slightly too little

Somewhat too little

Much too little

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* 19. Is reducing global warming more important than improving the economy, less important than improving the economy, or about as important as improving the economy?

Much more important

Somewhat more important

About as important

Much less important

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* 20. When people get involved in trying to solve environmental problems, how often do you think they make things better?

Always

Most of the time

About half the time

Once in a while

Never

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* 21. How well do you think the environment can recover on its own from problems caused by humans?

Extremely well

Very well

Somewhat well

Not so well

Not at all well

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* 22. I have social media accounts on:

Facebook

Twitter

Instagram

Parler

Gab

None of the above

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* 23. Whether television or internet, what national news organization are you likely to get your news from?

CNN

FOX NEWS

MSNBC

OANN

ABC

NBC

CBS

Other (please specify)

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* 24. I have lost friends or family because of my political beliefs:

None

A few

Some

Most

All

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* 25. Have you or someone close to you ever been employed by General Motors?

Yes

If yes, please state the last year of your employment with General Motors

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* 26. If you are selected to participate in this focus group project, which session would you most likely choose?

Thursday, September 15, 2022 - 9:00am-1:00pm

Thursday, September 15, 2022 - 2:00pm - 6:00pm

Friday, September 16, 2022 - 9:00am - 1:00pm

Friday, September 16, 2022 - 2:00pm - 6:00pm

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