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Questionnaire template

Political Campaign Supporter Feedback

Gathers voters' political outlook, views of a campaign and priority issues to help a campaign team refine its agenda.

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Nonprofit · Political. All Nonprofit templates

Questions in this template

Your Political Outlook

  1. Thank you for helping to shape our campaign. We want to hear what matters to you so our agenda reflects the people we hope to serve.

  2. How would you describe your political views?

    Choose one from a list:

    • Very conservative
    • Conservative
    • Moderate
    • Liberal
    • Very liberal
    • Prefer not to say

  3. How involved are you in political life in your local community?

    Choose one:

    • Very involved
    • Somewhat involved
    • Occasionally involved
    • Mostly uninvolved
    • Not involved at all

Your View of Our Campaign

  1. Please answer each statement about our campaign.

    • I know what the campaign's main goals are.
    • I share most of the campaign's values.
    • The campaign seems well organized.

    For each row: choose one:

    • Yes
    • Not sure
    • No

Issues That Matter to You

  1. Which issues are most important to you in the coming election?

    Choose any that apply:

    • Economy
    • Education
    • Climate change
    • Public health
    • Immigration
    • Infrastructure
    • Other

  2. What other issue is important to you?

    Condition: Only when Other was selected

    Open answer

  3. Why are these issues important to you?

    Condition: Only when at least one issue was chosen

    Open answer

Doing Better

  1. What could the campaign do to better meet your needs and those of your community?

    Open answer