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POLLING PLACE SURVEY

This survey enables voters to leave comments about their particular polling place, rather it be about the condition of the building, the location of the building, or a comment about the polling staff.  For this survey, you are not required to provide any personal information.  All information provided will remain confidential.  Please provide accurate information and constructive feedback.  You may complete the survey on any Election Day polling place or Early Voting polling place. 


Name or number of
your polling place:


Rate your experience
at your polling place:








Please give any details
about your experience:

How would you rate the
physical condition of your
polling place?:







Please give any details
about the physical condition
of your polling place:

How would you rate the
location of your polling place:







Please give any details
about the location of
your polling place:

Please rate the knowledge
and performance of the
polling place staff:







Please provide any further
details about the polling
place staff:

Please use this text box
to list any suggestions for
your polling place:

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