Survey for automation

Take the Survey

1. Which of the following concerns you the most? (required)

Gas prices

Food prices

Housing costs

2. Which of the following do you think is most responsible for the rising cost of living? (required)

Government policy

Foreign conflict

Businesses

First Name

Last Name

Mobile Phone

Landline Phone

Email Address

Zip Code

Yes, I want to Volunteer

Password (at least 8 characters)