* 1. Will you vote on Tuesday, November 6th, 2018?

* 2. Did you vote in the 2010 midterm election, or not?

* 3. What is your party affiliation?

* 4. What issues are important to you? Select all that apply.

* 5. What issue is the most important to you?

* 6. What is your age?

* 7. We are a grassroots campaign where you can help get the word out but also play an active role in shaping the campaign. Do you want to get involved in the campaign?

* 8. Please share your email address so we can keep you informed about the Mindi for Congress campaign!

* 9. Learn more about Mindi here: https://www.crowdpac.com/campaigns/356909/mindi-for-congress