Full Name
Phone
Email
Zip Code
How Did You Hear About Us
In Person With Advocate
Another Driver
Facebook
Twitter-X
Registered To Vote
Yes
No
Illegal Immigration
Huge Problem
Some Concern
Non Issue
Inflation
Big Problem
Acceptable
Non Issue
Vaccine Mandates
My Choice
Mandatory
Non Issue
School Choice
Yes
No
Non Issue
2nd Amendment
No Regulations
Some Regulations
Ban All Guns
Censorship
Huge Problem
Some Is Needed
Non Issue
Ukraine
No More Money
More Money
Non Issue
Abortion
Pro Life
Pro Choice
Voter Integrity
Very Strict
No ID
Not Important
Send
