Candidate Survey

If you are a hard-working American with real-world experience, active in your community, have shown a proven ability to fundraise, have a viable campaign team and plan, and are eager to learn, fill out our questionnaire today!

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Candidate Survey

Candidate Information

Candidate Information

Candidate Name

State/District

Candidate Address

Candidate Email

Candidate Cell Phone

Candidate Spouse

Number of Children

Name/Age of Children

Candidate Date of Birth

Current/Previous Career

Campaign Information

Campaign Information

Committee Name

Committee ID/FEC #

Committee Mailing Address

Campaign Phone

Campaign Website

Twitter

Facebook

Instagram

Date of Primary

Total Funds Raised in First Quarter

Total Funds Raised to Date

Breakdown of fund source (personal loan, personal donation, donation from district vs. out of district)

Campaign Team

Campaign Team

General Consultant/Company

Phone

Campaign Manager

Phone

Media Consultant/Company

Phone

Pollster/Company

Phone

Digital Consultant/Company

Phone

Mail Vendor/Company

Phone

Scheduler

Phone

Treasurer/Compliance

Phone

PAC Fundraiser/Company

Phone

In-State Fundraiser/Company

Phone

Political Director

Phone

General Candidate Information

General Candidate Information

Tell us your story:

Why are you running for Congress?

Have you ever run for office before? If so, please list the year, office, and outcome.

Have you or anyone in your family… (Check all that apply)

Served in our nation’s military

Worked as a First Responder

Owned a business

Have you ever worked a blue-collar job?

Briefly, what is your work history?

Number of hours devoted to campaign per week:

How many hours do you spend fundraising per week

If elected, what will be our top 3 priorities?

What is your biggest weakness as a candidate?

What is your biggest strength as a candidate?

What are the top 3 elected officials you admire and why?

List of major endorsements:

What sets you apart from the other candidates in your primary?

Issues

Issues

Do you support term limits for Members of Congress?

Should Congress have to live by the same laws it passes?

Do you support or oppose earmarks?

Have you signed the American for Tax Reform Taxpayer Protection Pledge?

Do you believe that abortion should be legal?

What, if any, restrictions would you place on the ownership or sales of firearms?

Do you believe in a Balanced Budget Amendment?

What specific proposals do you have to create jobs?

Should someone who came to the US illegally – even through no fault of their own – have a pathway to citizenship?

Do you believe the government should mandate the COVID vaccine on private employers?

What specific reforms would you make to our healthcare system?

What steps would you take to make the United States energy independent?

Do you believe the President has the authority to go to war without the consent of Congress?

Do you support the idea of expanding the Supreme Court?

Do you believe education decisions are best made at the federal level?

What policy positions do you carry that might not align with conservative?

Field label

Please provide a one sentence response to the following statements:

The recently passed infrastructure bill will provide much needed resources to states with crumbling infrastructure.

Dr. Fauci has lost the trust of the American people and should be fired.

Federal law supersedes state law.

Your Signature (Please type full name)

Date

Free Text

Please provide the following:

High resolution headshot

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Biography

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PDF of Donation form

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Links to campaign videos and recent interviews: