JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
Indian Valley Democrats Interest and Contact Survey
Tell us how you'd like to be connected to Indian Valley Democrats.
Sign in to Google
to save your progress.
Learn more
* Indicates required question
Email
*
Your email
First Name
*
Your answer
Last Name
*
Your answer
Cell phone
Your answer
Line phone
Your answer
Street Address
Your answer
Town, Zip Code
Souderton, PA 18964
Other:
Municipality of Residence
*
Lower Salford Township
Upper Salford Township
Salford Township
Franconia Township
Souderton Borough
Telford Borough
I'm not sure.
Other:
Required
Are you registered to vote?
*
Yes
No
Not sure
Required
How are you registered?
Democrat
Republican
Independent
No Party / Nonpartisan
Other:
How would you like to be connected and involved?
Receive communications.
Attend discussions of issues.
Attend planning discussions.
Help with election campaigns.
Share ideas and opinions via surveys.
Help with community awareness raising and education.
Help design and prepare campaign materials.
Translate campaign materials into languages other than English.
Other:
If you are willing to help with campaigns leading up to this year's November election, check the things you'd be willing to do.
Hang literature on local residents' doorknobs.
Knock on doors and talk to people.
Call people on the phone about voting.
Send text messages.
Write and send postcards.
Write opinion letters to local newspapers.
Help organize community events.
Display yard signs on your property.
Help distribute yard signs to others.
Attend discussion gatherings.
Donate money.
Other:
Any additional thoughts, comments, ideas, or suggestions?
Your answer
A copy of your responses will be emailed to the address you provided.
Submit
Clear form
Never submit passwords through Google Forms.
reCAPTCHA
Privacy
Terms
This content is neither created nor endorsed by Google.
Report Abuse
-
Terms of Service
-
Privacy Policy
Forms
