Voter Values Survey
Thank you for participating in this crucial feedback tool to ensure candidates for public service represent YOUR values.

This survey should only take 2 to 5 minutes, but the information you will provide is essential.

Name at least 3 of your highest priorities:
Describe your partisan affiliation: *
Which best describes your ideological tilt? *
True or False: "Most of my friends vote the same way I do." *
Email Address *
BobbyMcGee@Urgentvoter.com
Your answer
Home Address *
123 Any Street, Apt 4B
Your answer
Zip Code *
12345
Your answer
First Name *
Joseph
Your answer
Last Name
Voter
Your answer
Are you registered to vote? *
Submit
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google.