2024 Unverified Votes
Sign in to Google to save your progress. Learn more
What is your age range?
Clear selection
Was your registration new or an update within the preceding 12 months before the election?
Clear selection

Did you receive confirmation of your registration or a voter card before the election?

Clear selection
What City, County, and State did you vote in?
Did you vote in the 2024 Election?
Clear selection
How did you attempt to vote?
Clear selection
How did you register to vote? 
Clear selection

On Election Day or during Early Voting, were you told:

Clear selection
If you cast a provisional ballot, was it counted?
Clear selection

If you voted by mail or drop-off, what was the status of your ballot?

Clear selection

Were you involved in political activity in the year before the election?

Clear selection

Did you receive any unusual political communications, misinformation, or voter intimidation related to your registration or voting?

Did you use any digital platforms to check or update your voter registration status?

Clear selection
Next
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. - Terms of Service - Privacy Policy

Does this form look suspicious? Report

Google Forms