JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
DTDO 2021 Voter Survey
Sign in to Google
to save your progress.
Learn more
* Indicates required question
Email
*
Your email
First Name
*
Your answer
Last Name
*
Your answer
Mobile Phone or Home Phone
*
Your answer
Address ( optional )
Your answer
Do you consider yourself a Democrat?
Yes
No
Unsure
Clear selection
Do you consider yourself a Progessive or a Liberal?
Yes
No
Unsure
Clear selection
Which Issues Are Most Important To You?
Jobs
Healthcare
Income Inequality
Climate Change/Clean Energy
Education
Wall Street Reform
Immigration Reform
Other:
Do you vote in National Elections?
Yes, Always
No
Sometimes
Clear selection
Do you vote in Democratic Primaries?
Yes, Always
No
Sometimes
Clear selection
Do you vote in State-wide Elections?
Yes, Always
No
Sometimes
Clear selection
Do you vote in Local Municipal Elections?
Yes, Always
No
Sometimes
Clear selection
How have you been involved in recent elections?
Volunteered for local campaigns
Volunteered for a Presidential campaign
Donated to a local campaign
Donated to national Democratic groups
Participated in online petitions and surveys
Called or wrote your representative
Wrote letter to the Editor to a newspaper or website
Shared information on social media
Other:
Clear selection
Do you think Democrats should put some focus on winning local School, Park and Library Board races?
Yes
No
Maybe
Clear selection
Are you willing to help Democrats WIN local, state and federal elections?
Yes
No
Maybe
Clear selection
Are you interested in working for presidential candidates for the 2020 election?
Yes
No
Maybe
Clear selection
Would you consider serving your community by running in local, county or state elections in 2020/2021 ?
Yes
No
Maybe
Clear selection
Submit
Page 1 of 1
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google.
Report Abuse
-
Terms of Service
-
Privacy Policy
Forms
