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ENDORSEMENT SURVEY
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NAME
Your answer
CAMPAIGN EMAIL
Your answer
PERSONAL EMAIL
Your answer
POLITICAL PARTY
Your answer
OFFICE SOUGHT
Your answer
PRIMARY ELECTION DATE (if applicable)
MM
/
DD
/
YYYY
GENERAL ELECTION DATE
MM
/
DD
/
YYYY
CAMPAIGN WEBSITE
Your answer
CELL PHONE NUMBER
Your answer
ALTERNATE PHONE NUMBER
Your answer
CAMPAIGN MANAGER
Your answer
TREASURER
Your answer
CAMPAIGN COMMITTEE NAME
Your answer
CAMPAIGN MAILING ADDRESS
Your answer
COMMITTEE ID NUMBER
Your answer
CONTRIBUTION LIMIT
Your answer
HOW MUCH MONEY DO YOU ANTICIPATE NEEDING TO WIN THIS ELECTION?
Your answer
ARE YOU A WIL MEMBER?
Yes
No
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IF YOU HAVE PREVIOUSLY BEEN ENDORSED BY WIL, PLEASE STATE ELECTION DATE(S) AND OFFICE(S):
Your answer
NAME OF INCUMBENT, IF ANY:
Your answer
POSITION ON CHOICE: (check if you agree)
Abortion should be legal under all circumstances. If not, what restrictions do you believe should apply? (Answer below)
Medi-Cal benefits should cover abortion services and abortion pharmaceutical resources.
The government should use tax money to fund women's reproductive health care.
Public schools should teach medically accurate, age-appropriate comprehensive sex education as required by the Child Healthy Youth Act.
Abortion should be legal only in the case of rape, incest or to preserve the life of the mother.
Abortion should be legal only to preserve the life of the mother.
If you answered above that you believe restrictions should apply, please explain.
Your answer
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