Freedom Needs Fighters Survey

This survey will help us understand our community's needs and priorities to build campaigns that support us all.

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We take your privacy seriously. Any personal or private information collected will not be shared, sold, or disclosed to any third party or government agency under any circumstances, unless required by law. Your information is used solely for the purposes explicitly stated and will always be handled with the utmost care and confidentiality.

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Contact Information

First Name Last Name

Date of Birth( can put 01/01/year) (Optional)

Gender (Optional) Race (Optional)

Street Address (Optional)

Postal Code City State

Email Mobile Phone (Optional)

Sign me up for SMS messages.

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Yes, sign me up for email updates.

Remember me so that I can use FastAction next time.

(Optional)

Survey Information

What is your yearly income? (Optional)

How many children under 18 are currently under your care? (Optional)

What is the number 1 issue concerning you and your family?

What is the number 2 issue concerning you and your family?

What is the number 3 issue concerning you and your family?

Which of the following closely relates to how you would evaluate your community?

Would you like to know the results of this survey?

What is your preferred contact method? (Optional)

Do you believe your elected officials represent your needs? (Optional)

Would you like to be invited to our upcoming Freedom Assembly/Townhall?

What does freedom look like for you? (Optional)

Notes (Optional)

Can we follow up with you about Dream Defenders?