Upper Bucks United Community Survey (5 - 7  minutes)
Upper Bucks United is a non-partisan group made up of your friends, neighbors, and family. We’re conducting this survey to better understand what truly matters to our community—so we can build grassroots power and work together toward a future that reflects our shared values and priorities. Your responses will be used to compile aggregate data and will remain confidential.  
Sign in to Google to save your progress. Learn more
Name
Email
Home Zip Code
Please mark ALL boxes that apply to you:
Please share what you see as the most important issue facing your community or country right now. Why does this matter most to you?
How important is the protection of civil rights and liberties, including freedom of speech and equal treatment under the law, to you?
How important is it to you that democracy and voting rights are safeguarded?
How important is the issue of access to reproductive healthcare, including policies that may impact abortion access, to you?
How important is reform of the U.S. Supreme Court (e.g., term limits, code of ethics, mechanism for enforcement, etc.) to you?
Are you concerned about your financial future? 
Clear selection
How important is it to reform campaign finance to you (e.g., elected officials and political candidates disclose financial information, limits on PAC and corporate giving, etc.)?
How important is protecting federal programs like Medicare and Social Security to you?
How important is it to you that U.S. immigration policies are fair, humane and include due process for all individuals?
How important is it to you that the federal government takes action on environmental protection and climate change (e.g., asbestos removal, protecting the Delaware watershed, protection from lead poisoning, etc.)?
How important is preserving public education, including adequate funding, protecting disability rights, and maintaining anti-discrimination policies in education, to you?
How important is consumer protection and data privacy to you?
How important is it to you that veterans receive healthcare and support through federal benefits and programs?
How important is it to you that community issues like affordability (e.g., food, housing, electricity, wages) are addressed in local planning and decision-making?  
How important to you is maintenance and support of community infrastructure and public services (e.g., roads, bridges, public transportation, utilities)?
How likely are you to vote in upcoming elections? 
Clear selection
Tell us what question you wished we would have asked and your answer? Is there anything else you'd like to share?
Would you give consent for Upper Bucks United to quote any of your responses in this survey (no pressure!)?
Are you interested in learning more about Upper Bucks United initiatives and volunteer opportunities? 
UBU is conducting Community Listening Sessions to gather input from local residents, identify pressing community needs, and ensure that future initiatives reflect the voices and values of the Upper Bucks community. Would you be interested in being a part of a Listening Session? 
Clear selection
Captionless Image
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. - Terms of Service - Privacy Policy

Does this form look suspicious? Report