EXIT Civic Engagement Questionnaire Question Title * 1. Did you vote in the most recent national election? Yes No OK Question Title * 2. Did you vote in the most recent local election? Yes No OK Question Title * 3. Have you participated in a political campaign? (volunteered, put yard signs, donated money, attended rallies, etc.)? Yes No OK Question Title * 4. Have you signed a petition online or in-person? Yes No OK Question Title * 5. Do you volunteer in support of a particular cause or organization? Yes No OK Question Title * 6. Have you written a letter to the editor or submitted an op-ed to the local paper(s)? Yes No OK Question Title * 7. Have you contacted an elected representative to voice your opinion about a particular issue? Yes No OK Question Title * 8. Do you use social media to share your thoughts on issues and attempt to educate or influence others? Yes No OK Question Title * 9. Have you made any charitable donations to support the work of causes or organizations in which you believe? Yes No OK Question Title * 10. When someone says something that you disagree with, do you speak up and attempt to engage that person in a civic discussion? Yes No OK Question Title * 11. Do you take the time to research issues to understand all sides and perspectives before forming an opinion? Yes No OK Question Title * 12. Have you taken any specific action in the past year to help improve what you see as a problem in our region? Yes No OK Question Title * 13. Do you check multiple media sources coming from different perspectives regularly? Yes No OK Question Title * 14. Do you talk to your neighbors about the problems/opportunities in your community? Yes No OK Question Title * 15. Have you attended any forums/discussions/educational events on current issues in your region in the past year? Yes No OK Question Title * 16. Do you have an idea for legislation/policy that you have discussed with others? Yes No OK Question Title * 17. Do you know of organizations that are working on issues that matter to you? Yes No OK Question Title * 18. Have you been to any meetings of organizations working on issues that matter to you? Yes No OK Question Title * 19. Have you found any ways to bring your professional skills or expertise to bear on issues that matter to you? Yes No OK DONE