Anonymous Submission Form
No human is illegal. If you feel the need to respond anonymously, please fill in this form with as much information as you are comfortable sharing. If you are undocumented, closeted LGBTQ+, or have any other reason to keep your details private, please know that Ali supports you and respects your needs.
First Name or Pen name
Your answer
Last Name
Your answer
Email
Your answer
Zip code
Your answer
Do you live in Texas Congressional District 2 (Incumbent: Ted Poe)? Find out here: http://www.fyi.legis.state.tx.us/Home.aspx Please note that Ali is interested in your views regardless!
Please share your view with Ali!
Your answer
Is this an issue you are personally heavily affected by? If so how?
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