Fill out the form carefully to help create an informed political future
Name
*
First Name
Last Name
Birth Date
Please select a month
January
February
March
April
May
June
July
August
September
October
November
December
Month
Please select a day
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
Day
Please select a year
2026
2025
2024
2023
2022
2021
2020
2019
2018
2017
2016
2015
2014
2013
2012
2011
2010
2009
2008
2007
2006
2005
2004
2003
2002
2001
2000
1999
1998
1997
1996
1995
1994
1993
1992
1991
1990
1989
1988
1987
1986
1985
1984
1983
1982
1981
1980
1979
1978
1977
1976
1975
1974
1973
1972
1971
1970
1969
1968
1967
1966
1965
1964
1963
1962
1961
1960
1959
1958
1957
1956
1955
1954
1953
1952
1951
1950
1949
1948
1947
1946
1945
1944
1943
1942
1941
1940
1939
1938
1937
1936
1935
1934
1933
1932
1931
1930
1929
1928
1927
1926
1925
1924
1923
1922
1921
1920
Year
Gender
Please Select
Male
Female
N/A
E-mail
*
example@example.com
Phone Number
Format: (000) 000-0000.
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Company
Are you in favor of a smaller government?
*
Yes
No
Why are you in favor of a smaller government?
Do you favor a bigger government and modestly expanding on current government services?
Religion should be kept separate from government policies.
*
True
False
America's openness to people from all over the world is essential to who we are as a nation.
*
True
False
It would not bother you much to regularly hear people speak a language other than english in public places in your community.
*
True
False
The U.S. is one of the world's greatest countries, along with others.
*
True
False
The U.S. has gained more than it has lost from globalization.
*
True
False
In the future, U.S. policies should try to keep it, so America is the only military superpower.
*
True
False
You can trust experts
*
True
False
Experts are usually better at making good policy decisions than other people?
*
True
False
Additional Comments
Join the Cause
Should be Empty: