Canvassing Survey Input!

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Canvassing Survey Input!

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Full Street Name or Number (Ex: 18th ave NE)

Your answer

House Number (Ex: 3446)

Your answer

Not home

I left a flyer behind

Clear selection

Q1 Climate

1 (not real/denial)

2

3

4

5 (very real, concerned)

Q2 Voting

1 (not registered/not a voter)

2

3 (maybe voting)

4

5 (definitely voting)

Clear selection

Q3 Support for 732

1 Heck no!

2

3

4

5 Yes on 732!!

Clear selection

Name of respondant

Your answer

Contact info of respondent (optional)

Your answer

Submit

Clear form

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