* 1. In what locale do you reside?

* 2. Please provide contact information so that I can better communicate with you

* 3. From the following list of issues, which do you believe should be the top priority of the General Assembly? Please rank issues 1-13, 1 being most important

* 4. Do you support or oppose Medicaid expansion in Virginia?

* 5. Do you support abolishing the individual state income tax?

* 6. Do you support or oppose the legalization of industrial hemp farming in Virginia? 

* 7. Do you support or oppose the Atlantic Coast Pipeline?

* 8. Do you support or oppose removing historic statues, memorials, or monuments from public property, including those to Confederate soldiers?

* 9. Do you support or oppose stricter gun laws in Virginia?

* 10. Do you support or oppose 'Sanctuary city' policies?

* 11. Do you support banning civil asset forfeiture without a conviction in Virginia?

* 12. Do you support amending Virginia law so that Virginians may purchase health insurance plans available in other states?

* 13. Are there any other issues or areas that are of particular concern to you?  Please share your opinions using the space provided below.

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