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Kate Young Campaign
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Exit Survey
 
Yes!  I am interested in helping Kate Young become our next federal Member of Parliament for London West.
First Name : 
Last Name : 
Address 1 : 
Address 2 : 
City : 
Province : 
Postal Code : 
Phone : 
Email Address : 
 
 
 
I prefer to be contacted by (select all that apply):
 
Phone
 
Email
 
Text Message (please enter cell phone number):
 

 
 
 
I am interested in (please select all that apply):
 
Knocking on doors with Kate to identify supporters
 
Knocking on doors for Kate with other volunteers to identify supporters
 
Delivering campaign brochures door to door
 
Hosting an event for Kate in my home to meet friends/neighbours
 
Making a financial donation to support Kate
 
Fundraising for Kate (selling tickets for fundraisers, asking for donations)
 
Hosting a fundraiser for Kate
 
Making phone calls to supporters and potential supporters
 
Helping with social media (facebook, twitter, etc.)
 
Helping with the campaign database (data entry, generating lists, etc.)
 
Helping with communications and developing marketing materials
 
Attending community events with Kate
 
Attending campaign rallies and all candidates debates
 
Introducing Kate to my club, association or community group
 
Helping plan and organize events
 
Providing a written endorsement for Kate to use on social media, website or campaign materials
 
Other (please specify)
 

 
 
 
Would you like to have a lawn sign for Kate during the election campaign?
 
Yes, I would like a small lawn sign
 
Yes, I would like a large lawn sign
 
No thanks
 
I live in a condo/apartment that doesn't allow lawn signs
 
 
 
What Neighbourhood do you live in?
 
Berkshire
 
Byron
 
Highland
 
Hyde Park
 
Manor Park
 
Oakridge
 
Old South
 
Riverbend
 
Southcrest
 
Westmount
 
I live in the riding of London North Centre
 
I live in the riding of London-Fanshawe
 
I live in the riding of Elgin-Middlesex-London
 
I do not live in London
 
Other
 
 
 
 
Are you interested in becoming a Community Organizer for Kate in your neighbourhood?  Community organizers help coordinate door knocking in their neighbourhood to identify supporters and potential supporters.  They also collect and record valuable information from supporters in their neighbourhood that will help us in the general election campaign.  No experience is necessary, just a willingness to help. 
 
Yes, I want to be a community organizer for Kate
 
Maybe, please contact me so I can learn more
 
No, I am not interested
 
 
 
Have you ever worked on a political campaign before?  (No campaign experience is required)
 
Yes, I have lots of experience
 
Yes, I have some experience
 
No, but I'm really eager to volunteer right away and have some fun!
 
No, I'm totally new to this. I'd like to start slow and would appreciate some extra help/support.
 
 
 
I am available (or prefer) to volunteer on the following days of the week (select all that apply):
 
Mondays
 
Tuesdays
 
Wednesdays
 
Thursdays
 
Fridays
 
Saturdays
 
Sundays

 
 
 
Do you know of any upcoming community events that Kate should attend? Please provide as many details as possible (date, location, event type, anticipated number of participants etc). Please also let us know if you would like to attend the event with Kate.
   
 
 
 
Thank you for completing this survey, if you have any further comments or suggestions, please provide them below.
   
 
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