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Questionnaire template

Political Attitudes and Civic Participation

Measures adults' political orientation, policy priorities, trust in local government and voting habits.

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Nonprofit · Political. All Nonprofit templates

Questions in this template

Political Orientation

  1. Thank you for taking part. This survey asks about your political views and civic involvement. Your answers are anonymous.

  2. Do you identify with a particular political party?

    Choose one:

    • Yes
    • No
    • Prefer not to say
  3. How would you describe your political views?

    Choose one:

    • Very liberal
    • Somewhat liberal
    • Moderate
    • Somewhat conservative
    • Very conservative
    • Prefer not to say

Policy Priorities

  1. Which policy areas matter most to you? Select up to three.

    Choose any that apply:

    • Economy
    • Health care
    • Education
    • Immigration
    • Environment
    • National security
  2. Why are these areas important to you? (optional)

    Condition: Shown once priorities are selected

    Open answer

  3. In your view, is each of these areas being handled adequately at present?

    Condition: Shown once priorities are selected

    • Economy
    • Health care
    • Education
    • Immigration
    • Environment
    • National security

    For each row: choose one:

    • Yes
    • Not sure
    • No

Trust in Local Government

  1. How much do you trust your local government to deal well with issues in your area?

    Choose one:

    • A great deal
    • A fair amount
    • Not very much
    • Not at all
    • Not sure
  2. What makes you trust your local government less? (optional)

    Condition: Only for respondents with low trust

    Open answer

Civic Participation

  1. How often do you vote in local and national elections?

    Choose one from a list:

    • Always
    • Often
    • Sometimes
    • Rarely
    • Never
  2. Compared with five years ago, has your interest in politics changed?

    Choose one:

    • Increased
    • Stayed the same
    • Decreased