WON (Women in Office Now) Survey
Please answer the following questions to help us track the demographics of our participants.
Email *
1. Are you interested in running for public office? Please choose the answer that you feel best describes you. *
2. Which of the following best describes your political party affiliation, if any? *
3. Which of the following best describes your political views? *
4. How do you describe your race/ethnicity? (Select all that apply) *
Required
5. How do you describe your current marital status? *
6. Do you live with a disability and/or chronic physical or mental health condition? *
7. Are you a primary caretaker for others (e.g., child[ren] or someone who is elderly, ill, or disabled)? *
8. What is your current state of residence? [Dropdown menu of states] *
9. What is your current zip code? [5-digit only) *
10. In which year were you born? *
11. What gender do you identify as? *
12. Do you identify as LGBTQI2S+? *
The following questions will be used to help us remove duplicate responses and for internal tracking only. We take your privacy seriously. Your name will not otherwise be connected to your individual response.
What is your first name? *
What is your last name? *
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