Grassroots Campaign Input Question Title * 1. Will you vote on Tuesday, November 6th, 2018? Yes No Undecided Question Title * 2. Did you vote in the 2010 midterm election, or not? Yes, I did No, I did not Not sure Question Title * 3. What is your party affiliation? Democrat Republican Green Libertarian Independent Other (please specify) Question Title * 4. What issues are important to you? Select all that apply. Education Environment Healthcare Money in Politics Opioid Crisis/Mental Health Gender Discrimination, Hate Crimes Other (please specify) Question Title * 5. What issue is the most important to you? Education Environment Healthcare Property Taxes Responsible gun ownership Opioid Crisis/Mental health Other (please specify) Question Title * 6. What is your age? 17-29 30-39 40-49 50-59 60+ Question Title * 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? Yes No If yes, tell us what you can do like - have a house party, put up a lawn sign, help get the word out. Question Title * 8. Please share your email address so we can keep you informed about the Mindi for Congress campaign! Question Title * 9. Learn more about Mindi here: https://www.crowdpac.com/campaigns/356909/mindi-for-congress Done