1.  Name
2.  E-mail address
3.  Town in which you live
4.  Phone number
5.  Would you like WPA to send you information about local women candidates?        Yes     No
The next questions are to help us match candidates with potential volunteers.
6.  Please select the types of races in which you would be interested in volunteering (select all that apply).
School board		City council/city commission	Mayoral
County commission		Other, please specify
7.  Please describe the issue(s) that would be most important for a candidate you support to address:
8.  If you were to assist a woman candidate's campaign, which of the following activities would you consider doing? (select all that apply)
Literature drop (Leafleting neighborhoods with campaign material)
Phone banking (Calling people on the phone to encourage them to vote)
Door knocking in neighborhoods to encourage support for the candidate
Fundraising
Working with the media/public relations
Stuffing envelopes, putting together material for mailing
Mentoring a candidate
Training volunteers
Serving as campaign treasurer
Hosting a house party for a candidate
Donating money to a candidate's campaign
Other, please specify:
9. With which of these activities do you already have experience? (select all that apply):
Literature drop (Leafleting neighborhoods with campaign material)
Phone banking (Calling people on the phone to encourage them to vote)
Door knocking in neighborhoods to encourage support for the candidate
Fundraising
Working with the media/public relations
Stuffing envelopes, putting together material for mailing
Mentoring a candidate
Training volunteers
Serving as campaign treasurer
Hosting a house party for a candidate
Donating money to a candidate's campaign
Other, please describe:
10.  Have you run for elective office?
No	Yes, please describe:
11. Are you interested in running for office?
No	Yes  If yes, for which office(s)?
Thank you very much for your participation.  If you have any questions regarding this survey or Women's Political Action, please contact Mackenzie Taylor at bellikose7@aol.com or Deb White at whitede@mnstate.edu .