Name *

First Name

Last Name

Phone number *

(###)

###

####

Gender *

Male

Female

Other

Would you consider yourself liberal, moderate, or conservative in your political beliefs? *

Very liberal

Somewhat liberal

Moderate

Somewhat conservative

Very conservative

How likely would you say it is you will vote in the 2026 congressional election? Would you say that you are... *

Definitely going to vote

Probably going to vote

A 50-50 chance to vote

Probably NOT going to vote

Definitely NOT going to vote

Unsure

Are you willing for us to contact you at the e-mail address and phone number provided? *

Yes

No