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* 1. What is your name?

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* 2. What is your email address?

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* 3. What city/town do you live in?

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* 4. How did you come to hear about/join DCPAA?

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* 5. Which of the following best describes your status as a registered voter?

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* 6. Which NYS Senate District do you live in? (If you aren't sure, you can check at http://www.elections.ny.gov/district-map/district-map.html)

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* 7. Using the map below if you are unsure, which US Congressional District do you live in? 

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* 8. Using the map below if you are unsure, what NY State Assembly district do you live in?

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Dutchess County State Assembly Districts

Dutchess County State Assembly Districts

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* 9. Using the map below if you are unsure, which Dutchess County legislative district do you live in?

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Dutchess County Legislative Districts

Dutchess County Legislative Districts

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* 10. Please rate your interest in DCPAA pursuing actions/events on the following issues.

  1 (not very interested) 2 3 4 5 (very interested)
Women's rights
Healthcare reform/Medicare
The environment
Criminal justice reform
Workers' rights
Voting rights
Education reform
LGBTQ Issues
Campaign finance reform
Social security
Race relations
Immigration
Net neutrality
Freedom of the press

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* 11. Please indicate the extent to which you agree with the following statements about what DCPAA (as an organization) should focus on.

  1 (strongly disagree) 2 3 4 5 6 7 (strongly agree)
We should focus mostly on action directed at specific progressive issues.
We should focus mostly on finding and supporting progressive local candidates.
We should focus mostly on educating ourselves and others about the issues.
We should focus on supporting statewide and/or national progressive groups.

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* 12. Please indicate the amount of time each week you would be willing to devote to attending events or contributing to actions through DCPAA.

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* 13. Would you be willing to pay dues to DCPAA to offset costs of operation?

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* 14. If the group were to start collecting dues, how much money would you be willing/able to pay each year?

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* 15. Which of the following types of content should the general meetings involve?

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* 16. How often do you think we should hold general membership meetings?

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* 17. Who do you think should facilitate the general membership meetings?

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* 18. Please rate your willingness to help with the following tasks

  1 (not willing) 2 3 4 5 6 7 (very willing)
Planning Events
Creating Materials
Vetting Candidates
Outreach/Publicity
Record Keeping
Calendar Upkeep
Helping to Manage Finances
Creating/Editing Website Content

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* 19. Please include any feedback about how the group has been running or suggestions for the future here:

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