JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
Impact of Tariffs on Your Life
Share your experiences and observations regarding the impact of tariffs on your personal life, business and household.
Sign in to Google
to save your progress.
Learn more
* Indicates required question
Name (if you want to remain anonymous please use "anonymous")
*
Your answer
City/Town of Residence
*
Your answer
Occupation/Industry
Your answer
Email Address
Your answer
Phone Number
Your answer
Are you registered to Vote?
Yes
No
N/A
Clear selection
How have you personally experienced the effects of Trump's tariffs? (e.g., increased prices, job concerns, business struggles)
Your answer
In your day-to-day life, what specific items or services have become more expensive for you or your family due to these tariffs? (e.g., groceries, home repairs, new cars)
Your answer
If you're a small business owner, how have tariffs impacted your operational costs, supply chain, or ability to compete?
Your answer
Have you or anyone you know faced job insecurity or lost a job because of the economic uncertainty created by trade wars?
Your answer
What does it mean to you that your current representative, Greg Steube (if you are in FL-17), has supported a political agenda that has led to these increased costs for you?
Your answer
Our campaign's message is focused on bringing economic prosperity back to our district. What does "economic prosperity" mean to you and your family?
Your answer
Have tariffs influenced your purchasing decisions or shopping habits? If so, how?
Your answer
Estimate the added cost per month to your household/business because of tariffs.
<$50
$50-$100
$100-$250
$250-$500
$500-$1000
>$1000
Clear selection
What is the most important issue you want a representative to focus on to improve your financial situation?
Your answer
Have you delayed or canceled any major purchases because of tariff-driven price increases?
Yes
No
Clear selection
Are you willing to speak to Allen Spence more about your story?
Yes
No
Clear selection
Tell us anything about your story not covered in your previous answers.
Your answer
Submit
Page 1 of 1
Clear form
Never submit passwords through Google Forms.
This form was created inside of Allen Spence: The Prosperity Agenda.
Does this form look suspicious?
Report
Forms
Help and feedback
Contact form owner
Help Forms improve
Report