HeadCount

Questions marked with a * are required

Exit Survey

* Are you registered to vote?

* What do you think affects your life more?

Federal government

Local government

* When would you like to vote next? (Select all that apply)

4 years from now

2 years from now

As soon as possible

* Would you want to recieve alerts via email about upoming local elections?

* Please provide your email address (You will receive email alerts from TurboVote and HeadCount)

* Name

Mailing Address

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Cell Number

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