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Doorknocking Form
*Don't fill out a testimony form in addition. DK testimonies are tracked through this form*
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* Indicates required question
Name of person having convo (1 person)
*
Your answer
View Before
*
Not home/no convo
Pro-Choice
Somewhat Pro-Choice
Neutral/unsure
Somewhat Pro-Life
Pro-Life
View After
*
Not home/no convo
Pro-Choice
Somewhat Pro-Choice
Neutral/unsure
Somewhat Pro-Life
Pro-Life
Was your conversation a testimony? (IMPORTANT: for tracking testimonies/views!)
*
No - Not home/no convo (LEFT POSTCARD)
No - Not home/no convo (DIDN'T LEAVE POSTCARD - oops!)
No/not sure
Yes - They became MORE pro-life
Yes - They became FULLY pro-life
Name (of the person you spoke with)
Your answer
Future involvement?
Is this person interested in more? Choose all that apply and fill in the necessary information in the notes section below!
Donate
Get involved (has filled out sign-up form)
Email list (fill in below)
Other
Notes - can add testimony, or email/notes for follow up
Your answer
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