Steve McCabe MP: Your views on the EU Referendum
* Required
I am holding a community discussion event on Thursday 9 June, 6.30pm at Maypole Methodist Church, corner Sladepool Farm Road & Alcester Rd South, B14 5DL to talk about the EU referendum- can you join me?
Yes, please save me a place
Yes please save me a place and I would like to bring a friend
No can't make it
If you would like to bring along a friend, please add their name here:
Your answer
1. How important is the outcome of EU Referendum to...
You and your family?
not important
1
2
3
4
5
very important
Our country?
not important
1
2
3
4
5
very important
2. Many constituents that I have spoken to in recent weeks have raised the following issues in relation to our membership of the EU, do you share these concerns?
Yes
No
Not Sure
Immigration
Our economy
Jobs, skills and training
Crime and security
Control of UK borders
Consumer rights
Workers rights
Pensions (if economy gets a jolt)
Other
Yes
No
Not Sure
Immigration
Our economy
Jobs, skills and training
Crime and security
Control of UK borders
Consumer rights
Workers rights
Pensions (if economy gets a jolt)
Other
3. In relation to the question above, please use this space to tell me more about what you are worried about and how our country will look and feel if we vote to LEAVE the EU.
Your answer
4. In relation to the question above, please use this space to tell me more about what you are worried about and how our country will look and feel if we vote to REMAIN in the EU.
Your answer
5. What do you think is positive about our membership of the EU?
Yes
No
Not Sure
Able to negotiate deals with the largest trading blocs in the world
Able to influence 'the rules' in the EU to help the UK
Easier to travel and live in EU
Consumer agreements such as mobile phone charges can be applied over a massive area
In times of uncertainty better to be part of a larger group
Yes
No
Not Sure
Able to negotiate deals with the largest trading blocs in the world
Able to influence 'the rules' in the EU to help the UK
Easier to travel and live in EU
Consumer agreements such as mobile phone charges can be applied over a massive area
In times of uncertainty better to be part of a larger group
6. If we voted to leave the EU what would be the immediate benefit to our country?
Your answer
7. What would be the down-side of leaving the EU?
Your answer
8. If you have children or grandchildren do you believe they will have greater opportunities in life if we stay in the EU or leave the EU?
Greater if we stay in
Greater if we leave
It won't make any difference
Not sure
I don't have children or grandchildren
9. The International Monetary Fund, The World Bank and the Bank of England have all said that leaving the EU would have a negative impact on our economy, raising prices and interest rates - does this worry you?
not worried
1
2
3
4
5
very worried
10. Do you feel the UK can thrive as a country on its own outside of the EU?
Yes
No
Not sure
11. About you...
I work...
In the public sector
In the manufacturing sector
I am self-employed
I work in a small business
I am a business owner
I am retired
I am in training or education
12. What is your current position in relation to the EU Referendum?
On balance, remain in the EU
On balance, Leave the EU
Just not sure
13. How likely are you to vote in the EU Referendum?
not likely to vote
1
2
3
4
5
will definitely vote
14. Is there anything else you would like to share about your views on the EU Referendum?
Your answer
Name
*
Your answer
Email
*
Your answer
House number
*
Your answer
Postcode
*
Your answer
Telephone number
Your answer
Submit
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google.
Report Abuse
-
Terms of Service
-
Additional Terms
Forms
