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Questions marked with a * are required Exit Survey
 
 
* Are you Registered to Vote
 
Yes
 
No
 
 
 
* What do you think affects your life more? 
 
Federal Government
 
Local Government
 
 
 
* When would you like to vote next?
 
4 years from now
 
2 years from now
 
As soon as possible
 
 
 
* Would you want to receive alerts via email about upcoming local elections?
 
Yes
 
No
 
 
 
e-mail
   
 
 
 
Name
   
 
 
 
Mailing Address
   
 
 
 
Cell Number
   
 
 
 
Ok to text?
 
Yes
 
No