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* 1.
You are invited to participate in a research study titled “Political Identity: A case study of residents in Flint, Michigan”. This study is being conducted by Nancy Alamy – a Master's of Arts degree candidate at Georgetown University for the purpose of evaluating political attitudes in Flint, Michigan.
Participation in this study is entirely voluntary at all times. You can choose not to participate at all or to leave the study at any time. Regardless of your decision, there will be no effect on your relationship with the researcher or any other consequences.
You are being asked to take part in this study because you are a current or former resident of Flint, Michigan who is over the age of 18.
If you agree to participate, you will be asked to fill out one survey with questions pertaining to your political preferences, media habits, and ties to the Flint community. This survey should take around 15 minutes to complete. The survey will be collected through the website www.surveymonkey.com, or if a paper version, through the mail system in the attached postage paid envelope.
All of your responses to this survey will remain confidential. No identifying information about you will be collected for use in the study, and your survey will be identified only with a random number. Once you submit your completed survey, there will be no way to withdraw your responses from the study because the survey contains no identifying information.
Study data will be kept in digital format through www.dropbox.com. Access to digital data will be protected through encryption. Only the researcher and affiliated academic advisors will have access to the data.
There are no risks associated with this study. While you will not experience any direct benefits from participation, information collected in this study may benefit others in the future by helping to establish how or if political opinions are shifting in your city.
If you have any questions regarding the survey or this research project in general, please contact the principal investigator, Nancy Alamy, at 410-730-3854 or via email at na293@georgetown.edu or her faculty advisor, Diana Owen, PhD, at 202-687-7194 or via email at owend@georgetown.edu. If you have any questions about your rights as a research participant, please contact the Georgetown University IRB at (202) 687-6553 or irboard@georgetown.edu.
By completing and submitting this survey, you are indicating your consent to participate in this study.
Thank you.

Nancy Alamy
Master's of Arts Candidate
Georgetown University
410-730-3854
na293@georgetown.edu


I have read the attached statement and give my informed consent to participate in this study.

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* 2. I am 18 years of age or older.

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* 3. Please choose one:

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* 4. Check all that apply:
I spent all or part of these years living in Flint, Michigan:

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* 5. How long have you lived in the Flint area?

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* 6. How would you finish this sentence?
"I feel __________________ connected to the Flint community?

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* 7. Which of the following has had the most influence on your political attitudes?

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* 8. What best describes how you feel about the state takeover of Flint?

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* 9. What do you think is the main cause for the challenges facing Flint today? (Please choose up to two
responses).

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* 10. How often do you participate in political events pertaining to the Flint community? (i.e. town hall meetings, political speeches, etc.).

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* 11. Have you ever worked for General Motors, or its suppliers or distributors?

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* 12. Have any of your close family members worked for General Motors, its suppliers or distributors?

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* 13. Have you ever been a member of a labor union?

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* 14. What is your opinion of labor unions?

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* 15. Do you have a newspaper subscription?

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* 16. How often do you read The Flint Journal?

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* 17. How often do you watch the local Flint television news?

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* 18. How often do you watch nationally televised news programs?

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* 19. On average, how frequently do you attend a religious service (i.e. church, temple, mosque etc.).

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* 20. How often do you log onto a social networking site?

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* 21. Which media source are you most likely to get political news from:

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* 22. Of the network news channel you are most likely to watch:

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* 23. Of the cable news channels you are most likely to watch:

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* 24. Are you more likely to comment on or "like" a political statement or link one of your friends' posts on a social networking site if:

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* 25. If a connection on a social networking site advertises a personal political allegiance you were not previously aware of and is not in line with your own, does it affect your view of this person negatively?

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* 26. How would you respond to this statement:
"Religion plays an important role in choosing a political candidate."

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* 27. Would you consider your political leanings as more:

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* 28. Are you registered to vote?

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* 29. What is the likelihood that you will vote in the next local Flint elections?

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* 30. What is the likelihood that you will vote in the 2012 presidential election?

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* 31. If the presidential election were held today, who would you vote for?

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* 32. Please input your age:

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* 33. Are you:

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* 34. What is the highest level of education you have completed?

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* 35. What is your total household income?

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* 36. What is your (individual) income?

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* 37. What is your current marital status?

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* 38. Do you have children?

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* 39. What is your employment status?

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* 40. Ethnicity

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* 41. Please specify your race:

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* 42. What is your religious affiliation?

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* 43. If you would like to be entered into a drawing for one of three $50 gift cards please enter your email here. (Winners will be drawn at random and contacted by March 30th, 2012. Once the winners have been contacted all e-mail addresses will be destroyed).

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