Carleton GPO Survey
Please only complete this form if you live within the Carleton electoral riding.
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Email *
Name *
Phone number
Street *
Civic Address #
Geographic Area *
Please share a bit about yourself (who you are, what you do, where you live, how old you are, your family situation, etc.)
What are some of your biggest concerns leading into the next provincial election?
Please select which of the following proposals you are most in support of: *
Required
Would you have voted differently in any election this last 5 years if there were a proportional electoral system? *
Have you ever voted for the Green Party before? *
Do you feel you vote more for the leader, the party, or the local candidate from your riding in any given election? *
How closely do you follow politics? *
Very little
Very closely
When the time comes, would you be willing to display a lawn sign for your provincial Green Party candidate, Cody Zulinski? *
Would you be interested in volunteering for the Green Party during this campaign? *
Would you be willing to donate to your local GPO candidate, Cody Zulinski?
Clear selection
Do you consent to us keeping your contact information  on file so we can reach out to you another time? *
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