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We need your help to learn more about your voting experience during the 2019 Election early voting period (Oct 26-Nov 3) and Election Day on November 5th.

The survey is voluntary and anonymous, and for the purpose of data collection only. Your participation is greatly appreciated.

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* 1. Do you have a disability? 

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* 2. If you are comfortable, please select the type of disability you have. Check all that apply.

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* 3. Are you currently employed? 

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* 4. Are you eligible and registered to vote?

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* 5. Did you vote early between October 26 to November 3 or on Election Day on Nov 5th?

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* 6. If you answered Yes in Question 5 (Yes, I voted early or on Election day), please list the date and location

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* 7. If you answered "No" in Question 5 (No I did not vote), click all that apply

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* 8. Where did you get information on voting (check all that apply):

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* 9. Overall, did you feel good about your voting experience?

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* 10. What improvements, If any, have been made since your last voting experience? Check all that apply.

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* 11. How did you complete and cast your ballot?

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* 12. Did you experience any problems with accessibility at your polling place? Check all that apply

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* 13. How long did you wait to use the accessible voting machine?

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* 14. How did the poll workers make you feel or treat you? Check all that apply

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* 15. Were you able to vote privately where no one else could see your ballot?

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* 16. Did the poll worker offer you to use an accessible Ballot Marking Device? Check all that apply

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* 17. How long did you wait to use the Ballot Marking Device?

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* 18. Did the poll workers have any problems setting up or activating the Ballot Marking Device? Check all that apply.

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* 19. Did the poll worker give you clear instructions on how to use the Ballot Marking Device? 

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* 20. Did you experience any problems operating the Ballot Marking Device? 

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* 21. If you answered yes to the previous question, what happened? Check all that apply.

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* 22. When you used the Ballot Marking Device, which features did you use? Check all that apply

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* 23. Please provide any additional comments regarding your voting experience (This question is optional). 

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