March For Our Lives Survey
Name:
Age:
Email:
Phone Number:
What region of the USA are you from?
Which political party do you identify with?
Democratic
Republican
Independent
What website do you get your news from?
Do you currently support March For Our Lives?
Yes
No
Have you or someone you know been affected by gun violence?
Me Personally
Someone I Know
Neither
If you are comfortable, please elaborate:
Today's Date: