Question Title

* 1. What is your nationality?
(Please state all nationalities if you have more than one)

Question Title

* 2. How long have you lived in the UK?

Question Title

* 3. Have you ever worked in the UK ?

Question Title

* 4. Do you think the decision to exclude EU citizens from the Referendum vote is right ? (Tick all that apply)

Question Title

* 5. How do you feel about the decision to exclude EU citizens from the Referendum vote ? (Tick all that apply)

Question Title

* 6. Do you think EU citizens should have a right to vote in the Referendum ? (Tick all that apply)

Question Title

* 7. Do you think that politicians should consult with EU citizens on this subject? (Tick all that apply)

Question Title

* 8. Does the prospect of a Brexit affect you ? (Tick all that apply)

Question Title

* 9. Describe how your life might be affected of the UK left the European Union ?

Question Title

* 10. If you were stuck in a lift for a few minutes with the Prime Minister, what would you tell him ?

Question Title

* 11. Would you like to receive follow-up information about our campaign?

Question Title

* 12. At what email address would you like to be contacted?

T