Basic contact info:
Full Name:
Age:
Phone:
Email:
Political Affiliation
Questions:
If laws permitted, would you vote President Barack Obama back into office? Yes No
If answered 'No' please explain why
How political are you on a scale from 1-10?
When was the last time you needed to see a doctor?
Have you heard of Obama Care? yes
What website do you get most of your political news from?
What "color" would you say is the best representation of your emotions towards President Obama's policies?
