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Influence Matters Survey
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Demographics
Name
Your answer
City of Residence
Your answer
Age
Choose
16-22
23-34
35-50
51-64
65+
Nationality
Choose
White
African American
Hispanic
Asian
Filipino
Other
Registered to vote?
Yes
No
Clear selection
If NOT registered to vote, reasons why?
Not engaged by the political process
Feel as though your vote doesn't matter
Other:
Clear selection
Media
How do you get your News?
Social Media
News Feed
Newspapers
Work
Social Groups
Magazines
Which is your preferred News Source?
Your answer
Issues
Which local issues are you most concerned with?
Crime and Safety
Quality of K-12 Education
Access to Higher Education (College/University)
Affordable Housing
Jobs
Starting/Growing a Business
Ability to retire
Other:
Influence
What groups or organizations do you belong to?
Your answer
Other
Are you interested in?
learning how to run for Political Office
volunteering for Political Forums
learning how Statues and Bills are initiated (Local and/or State)
learning how to be a Governors Appointee to a State Commission
meeting your Elected Officials and articulating your concerns
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