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Broadband Survey
Please tell us about yourself
Age
*
Under 18
18 - 25
26 - 35
36 - 45
46 - 55
55 and Up
Gender
*
Female
Male
Do you live on a Local Reservation
*
Yes
No
Choose Your Reservation
Barona
Cahuilla
Campo
Chemehuevi
Ewaaiipaayp
Inaja
Jamul
La Jolla
La_Posta
Los_Coyotes
Manzanita
Mesa Grande
Pala
Pauma
Rincon
San Pasqual
Santa_Ysabel
Sycuan
Viejas
Other Reservation or City
Education Level
*
High School / GED
Associates
Bachelors
PHD
Other
Are you a registered voter
*
Yes
No
Did you vote in the last election
*
Yes
No
Please select any of the following Political Contributions you have done
Donated to a Political Candidate
Attended a Public meeting
Voiced your opinion in social media, forums or social networks
Contacted a public official in any fashion
How much did you donate
Under $100.00
Over $100.00
How many public meetings did you attend
Are you a member of a community organization
yes
No
Please select any of the contributions you have made to a community organization
Donated to community charity
Volunteered for community organizations
How much did you donate to charity
Under $100.00
Over $100.00
How many hours did you volunteer
*
Must be completed to continue
