The following questions ask for some personal information.  Providing the following information is voluntary. Your information will not be shared or used for marketing of any kind. We collect this information for internal purposes and for reporting to our funding partners, at which time, your information will be de-identified.

Zip Code

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* 2. Zip Code

Polling Site

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* 3. Polling Site

Was the parking area accessible?

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* 4. Was the parking area accessible?

Was the path to building accessible?

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* 5. Was the path to building accessible?

Was the entrance accessible?

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* 6. Was the entrance accessible?

Did you vote from your vehicle?

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* 7. Did you vote from your vehicle?

Was the voting equipment accessible?

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* 8. Was the voting equipment accessible?

Did you need an accommodation that was not available? (Please explain.)

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* 9. Did you need an accommodation that was not available? (Please explain.)

Contact Information (Optional)

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* 10. Contact Information (Optional)

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