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* 1. What is your gender?

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* 2. Which parish do you live in?

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* 3. What industry or sector do you work in?

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* 4. How long have you been living in Jersey?

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* 5. How long have you lived in your current parish?

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* 6.  Thinking about Jersey and the government do you think it is  heading in the right direction or  heading in the wrong direction?

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* 7. Do you agree or disagree that the Jersey government sufficiently listens and takes accounts  to peoples issues and concerns?

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* 8. Regarding the previous question, in a few sentences please explain why you think so

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* 9. Which THREE would you like the States and government focus on?

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* 10.  Thinking about your Parish, are there specific issues you feel need to be addressed?

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* 11. How much, if anything do you know about changes to the election structures?

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* 12. Thinking about the elections next year, on a scale of 0-10, how likely is it that you will go out to vote where 0 is would NOT vote, and 10 is definitely WOULD vote?

0 10
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i We adjusted the number you entered based on the slider’s scale.

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* 13. Would you like to join Our Mailing list and be kept up to date on key issues?

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* 14. What is the best way of reaching you?

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* 15. What is your email address?

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