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How Are You Feeling About America?

1. What's your gender?

2. How old are you?

3. Where do you live? (City, state)

4. What's your email address? This question requires a valid email address.

5. What is your household income?

6. What's your highest level of education?

7. What political party do belong to?

8. Do you feel the country is going in the right direction?
Care to elaborate? Write it in the comments box.

Definitely not

Yes, absolutely

Comments

What is your biggest concern for the future? If your concern isn’t included or you have other thoughts, please add them in the comments box. (Choose only one.)

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10. Please rank these values in order of importance, with 1 being the most important. Note: for the following table each column is restricted to a single answer across all rows.

	1	2	3	4
Family	Rank Family as 1 out of 4	Rank Family as 2 out of 4	Rank Family as 3 out of 4	Rank Family as 4 out of 4
Personal Fulfillment	Rank Personal Fulfillment as 1 out of 4	Rank Personal Fulfillment as 2 out of 4	Rank Personal Fulfillment as 3 out of 4	Rank Personal Fulfillment as 4 out of 4
Religion	Rank Religion as 1 out of 4	Rank Religion as 2 out of 4	Rank Religion as 3 out of 4	Rank Religion as 4 out of 4
Safety	Rank Safety as 1 out of 4	Rank Safety as 2 out of 4	Rank Safety as 3 out of 4	Rank Safety as 4 out of 4

11. How do politics affect you personally? (Check all that apply.)
Care to elaborate? Write it in the comments box.

My friends include people whose political beliefs differ from mine.
Political differences are causing conflict in my family.
I'm open to the arguments of a political view that's different from my own.

Comments

12. What is your primary source for news? (Check only one.)
If you'd like, please be more specific in the comments box.

Comments