Questionnaire Please complete the questionnaire to assist us in understanding and reaching more of the electorate. Please enable JavaScript in your browser to complete this form.Please enable JavaScript in your browser to complete this form.Your Details - Step 1 of 6Name *FirstLastLayoutEmail *PhoneLayoutZip CodeAge Group 18 – 3536 – 5556 – 7071+LayoutAre YouEmployedSelf EmployedUnemployedRetiredOtherOtherIncome Bracket0 – 40 00040 – 80 00080 – 120 000120 – 200 000200K +NextPersonal What Are Your Issues of Concern. Rank from 1 – 4 1. – A very big problem 2. – A moderately big problem 3. – A small problem 4. – Not a problem at all Layout(i) Food Insecurity1234(iii) Healthcare / Medical Bills1234(v) Credit Card Debt1234(vii) Utility Bills1234(ix) Other(s), Please state(ix) Other(s)1234(ii) Rent or Mortgage Increase1234(iv) Student Loan Debt1234(vi) Childcare1234(viii) Gas Prices1234NextCommunity Issues What Do You Think Are Major Issues In Your Community Rank from 1 – 4 1. – A very big problem 2. – A moderately big problem 3. – A small problem 4. – Not a problem at all Layout (copy)i. Homelessness1234iii. Drug Addiction1234v. Crime1234ii. Municipal Bills1234iv. Crumbling Infrastructure1234vi. Other(s), please state(vi) Other(s)1234NextYour Opinion Of Challenges Facing The Country Rank from 1 – 4 1. – A very big problem 2. – A moderately big problem 3. – A small problem 4. – Not a problem at all Layout (copy) (copy)i. Inflation1234iii. Violent Crime1234v. Gun Violence1234vii. Climate Change1234ix. Border / Illegal Immigration1234xi. Conditions of Public Infrastructure1234xiii. Corona Virus Outbreak1234xv. Lobby Influences In Federal Government1234Other(s), Please stateii. Healthcare Affordability1234iv. Opoid Crisis1234vi. The Federal Budget Deficit1234viii. Quality of K12 Public Schools1234x. Racism1234xii. Unemployment1234xiv. Overseas Militarism1234NextRecent Events Rank from 1 – 4 1. – I strongly support 2. – I moderately support 3. – I slightly support 4. – I don't support at all Student Protestsi. What Is Your Opinion of The Recent Student Protests1234iii. Do You Think The Police Response In Some Of the Protests was Justified1234Any Other Comments On The Student Protests and Recent Demonstrationsii. Do You Think They Were Justified In Exercising Their First Amendment Rights1234iv. Do You Think They Had Good Reason To Protest1234Tiktok BanRank from 1 – 4 1. – I strongly support 2. – I moderately support 3. – I slightly support 4. – I don't support at alli. What Is Your Opinion Of The Tik Tok Ban1234ii. Other Comments, Please stateFederal RightsWhich Of Your Rights Do You Feel Have Been Infringed On Recently? Rank from 1 – 4 1. – A very big problem 2. – A moderately big problem 3. – A small problem 4. – Not a problem at allFederal Rightsi. Freedom of Speech1234iii. Freedom to Bear Arms 1234v. Freedom of Worship1234vii. Freedom of Assembly1234ix. Other(s), Please stateii. Freedom of Religion1234iv. Freedom of Expression1234vi. Freedom of Petition1234NextPresidential Records Rank from 1 – 4 1. – A very big achievement 2. – A moderately big achievement 3. – A small achievement 4. – Not an achievement at all How Do You Think Trump Performed in The Following Areas? i. Federal Judiciary1234iii. Tax Code Changes1234v. Economy1234vii. Charlottesville March1234ix. Coronavirus1234xi. Iran Deal1234xiii. Capital Insurrection1234ii. Space Force1234iv. First Step Act1234vi. Abraham Accords1234viii. George Floyd Riots1234x. Border / Immigration Policies1234xii. Paris Climate accord1234xiv. Other(s), Please stateHow Do You Rate President Biden’s Performance On The Following?Field #138 (copy)i. Economy1234iii. Healthcare1234v. Border / Illegal Immigration1234vii. Israel Hamas Conflict1234ix. Other(s), Please stateii. Job Creation1234iv. Coronavirus1234vi. Afghanistan Withdrawal1234viii. Ukraine1234What Do You Expect From A Kennedy Presidency?Field #138 (copy) (copy)i. Border / Illegal Immigration1234iii. Economy1234v. Government Institutions1234vii. Native Americans1234ix. Other(s), Please state ii. Civil Rights1234iv. Environment1234vi. Housing1234viii. Militarism1234Submit Join our team and Make Us Stronger I agree that my submitted data is being collected and stored. Leave this field empty if you're human:
