Level of Education:
In High School
High School Grad or Equivalent
In College or Equivalent
College Graduate
Other
Age:
Under 18
18 - 21
22-25
25-30
Over 30
Ethnic Background
:
Caucasian
Hispanic/Latin
African-American
Native American
Asian
Other
Religious and Belief Affiliation
Christian
Muslim
Jewish
Buddist
Catholic
Baptist
Agnostic
Atheist
Region of residence (if US Citizen).
Map
North East (Regions 1,2,3)
Mid Atlantic (Region 5)
South East (Region 4)
Great Lakes (Region 6)
Central (Region 7)
Southwest (Region 8)
Midwest (Region 9)
West (Region 10)
1.
What is your current voting registration status in the United States?
Ineligble (does not fit requirements such as age)
Eligible/Unregistered
Eligible/Registered
Not US Citizen
2.
Have you voted in the past and/or plan to vote in upcoming elections?
(choose N/A if you're not eligible to vote).
Yes
No
3.
What are your reasons for not registering/voting in the past or what reasons would prevent you from doing so in the future?
No Time
No Transportation
Lack of Information
Don't Care
Poor candidate choices
Politics depress/scare/annoy me
Other:
4.
Which of the following social issues do you feel you would like to be or already are involved in or care about?
(all that apply)
Student Loans/Debt
Political Issues
Quality of Food/Products
Freedom of the Arts (movies, music, visual, literature, etc)
Domestic Violence
Environment (air quality, water pollution, golbal warming, etc)
Abortion/Women's Health
Religious freedom and expression
Personal Security
International Relations
Basic Rights (Press, Speech, etc)
Medical Care
Tax expenditures
Homeland security
Energy economics (gas and fuel prices, etc)
Freedom of the Internet
Minority Rights and Racial Issues
Gay rights
Public Violence
National Debt
Alternative Energy
Censorship in the media
Removal of personal freedom
Other:
5:
What medium of advertising do you respond to or notice most?
Posters, billboards, and large print
Television commercials
Vehicle and subway ads
Internet advertising
Magazines and other small print media
News (TV, Print, Web)
Radio advtertising
Celebrity-endorsed advertising
6.
What television genres are you most interested in?
Reality TV
Gameshows and Contests
Music/Entertainment
Educational
Worldly/International
Historical
News/Informative
Technology
Dramas, Sitcoms
Cartoons and animation (any age-focus)
Comedy and satire
Documentary
Other
7.
What do you feel would get you more interested or involved in social issues?
More tangible Information
More eye-catching/visually appealing advertisement
More information on topics I care about
8.
How would you feel about the inclusion of political or social statements during commercial breaks of your favored programs?
I would find this annoying.
I most likely wouldn't notice.
It may spark my interest depending on the topic.
I'd like to be more informed this way.
9.
Which of the following situations would you find most disturbing?
(choose up to --)
The idea/possibility that...
... taxes I pay to the nation wouldn't be going towards my community or future welfare.
... a vote I cast is manipulated, miscounted, or thrown away without my knowing.
... myself or someone I care about could be denied medical attention in an emergency because of insurance issues.
... the food or products I use could be unsafe to the health of myself and my loved ones.
... the music and art I like or make could be banned or heavily censored.
... the government would monitor all my actions online, on the phone, etc.
... my personal/religious beliefs could be banned or persecuted.
... that the environment could reach critically uninhabitable levels in my lifetime, or that of my children.