* 1. What's your name?

* 2. What's your email address?

* 3. How did you hear about us?

* 4. Do you support the campaign to end the Debt Draft? If so, why?

* 5. Have your views on the welfare state changed because of our speakers or resources? Please tell us how.

* 6. Have you taken an action to fight the Debt Draft? What was it? What were the results?

* 7. Can we use your comments to help promote our End the Debt Draft campaign?