Pennsylvania Voting Plan Survey: November 2020 Election
Fair Elections Center is looking to understand Pennsylvania voters' current plans to vote in the November 2020 election, especially voters who requested a mail ballot. Your story is important to helping voting rights advocates improve Pennsylvania's election system.
Fair Elections Center is a nonpartisan, nonprofit organization focused on civic engagement and voting rights. For more information about Fair Elections Center and its work, visit
www.fairelectionscenter.org
.
Submitting this form does not establish an attorney-client relationship. No personal identifying information provided in this form will be made public or shared outside of Fair Elections Center or any of its legal partners without your consent. By completing this form, you consent to being contacted by an attorney at Fair Elections Center.
Thank you for taking the time to share your story with us. Please share this form with anyone you think would be interested in telling their story as well.
* Required
Do you plan to vote in the November 2020 election in Pennsylvania?
*
Yes
No
Do any of the following describe you, someone you live with, or someone in your care? Check all that apply.
*
A list of conditions identified by the CDC as placing someone at greater risk of severe illness from COVID-19 can be found at the following URL:
https://www.cdc.gov/coronavirus/2019-ncov/need-extra-precautions/groups-at-higher-risk.html
My doctor told me that I am at increased risk of severe illness from COVID-19.
I live with or provide care to someone who has been informed by a medical professional that he or she is at increased risk of severe illness from COVID-19.
I am living with a condition identified by the CDC as putting me at greater risk of severe illness from COVID-19.
I live with or provide care to someone who has a condition identified by the CDC as putting someone at greater risk of severe illness from COVID-19.
None of the above
Required
First Name
*
Your answer
Last Name
*
Your answer
What county do you live in?
*
Your answer
Email address
*
Your answer
Phone number
Please enter your phone number without any special characters, such as hyphens or parentheses. Example: (606) 555-5555 should be entered as 6065555555
Your answer
If you requested a mail/absentee ballot, how long ago did you request it?
Less than a week ago.
About a week ago.
About 2 weeks ago.
About 3 weeks ago
About a month ago.
More than a month ago and/or when I requested my primary ballot.
Not applicable/I didn't request a ballot.
Clear selection
Did you receive it?
*
Yes (Please answer all questions below)
Not yet. (Please go to the last question)
I did not request a ballot. (All done with this survey!)
If you received your ballot - when did you get it? If you're not sure, just give your best guess.
Date
How long did it take for you to get your ballot?
Less than 1 week after I requested it.
1-2 weeks after I requested it.
2-3 weeks after I requested it.
3-4 weeks after I requested it.
More than a month after I requested it.
Not applicable/I didn't get it.
Clear selection
If you requested a mail ballot and did NOT get it yet, what will you do next (check all that apply):
Contact my county to see if I can get my mail/absentee ballot.
Vote in person if my ballot doesn't come.
If my mail/absentee ballot doesn't come, I won't get to vote because I don't feel safe voting in person.
Not applicable/my ballot already came
Submit
Never submit passwords through Google Forms.
This form was created inside of Fair Elections Center.
Report Abuse
Forms
