Community Survey 2017
First Name
Your answer
Last Name
Your answer
Street Address
Your answer
City
Your answer
Postal Code
Your answer
Email Address
Your answer
Phone Number
Your answer
Please Rank the Importance of Each Federal Issue to You and Your Family On a Scale of 1-10
1 = Least Important and 10 = Most Important
Jobs
Climate Change
Pensions
Electoral Reform
Student Debt
Consumer Fairness
Federal Deficit
Affordable Housing
Poverty
Environmental Protection
Healthcare
Mental Health Support
Homelessness
Cities/Infrastructure
Child Care
Food Security
Public Service Investment
International Trade
What’s important to you?
Your answer
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