2016 LWV of Fairfax Meals Tax Forum Questions for the Meals Tax Panelists * 1. Are you a resident of Fairfax County, Virginia or one of the jurisdictions within Fairfax County (Herndon, Vienna, Clifton)? Yes No * 2. Do you work in Fairfax County, Virginia? Yes No * 3. What question would you like to be addressed at the Meals Tax Forum? * 4. If you have an additional question about the Meals Tax, please write it here. * 5. Do you support the meals tax in Fairfax County? Yes, I am for the Meals Tax. If yes, please go to question 6. No, I am against the Meals Tax. If no, please go to question 7. I am undecided and would like to learn more. Other (please specify) * 6. Explain why you support the Meals Tax. * 7. Explain your opposition to the Meals Tax. * 8. May we publish your question or comments after the event? Yes No * 9. What is your current occupation? * 10. Your contact information (optional) Name Organization / School / an interested citizen City/Town (very helpful!) State/Province ZIP/Postal Code Email Address Phone Number Done. Thank you for helping make democracy work!