www.cvcaudit.com 2014 CPM Political Survey Question Title * 1. Thank you for taking a couple of minutes to tell us your opinions so we can understand & serve you better. All of your individual survey responses are completely confidential. Please take this survey only once. Multiple entries will be eliminated from the drawing.Let's get started.Please enter your home address ZIP code. Question Title * 2. What is the name of the publication where you saw the ad to take this survey? Question Title * 3. What is your gender? Female Male Question Title * 4. What is the highest level of education you have obtained? (This question will help us with both editorial and advertising decisions.) Some High School or less High School Graduate Some college College Graduate Post Graduate degree Other (please specify) Question Title * 5. What category best describes your combined annual household income for last year? (This question will help us with both editorial and advertising decisions.) Under $24,999 $25,000 to $49,999 $50,000 to $74,999 $75,000 to $99,999 $100,000 to $149,999 $150,000 to $199,999 Over $200,000 Other (please specify) Question Title * 6. Are you a registered voter? Yes No Question Title * 7. Which of the following media, if any, would you prefer to receive voter information and advertising from? (Check all that apply.) Television Radio Community papers Direct mail Email Internet Other (please specify) Question Title * 8. Which, if any, of the following would you describe as your primary political party affiliation? Independent Democrat Republican Other (please specify) Question Title * 9. Which of the following new technologies or media do you participate in or use on a regular basis? (Check all that apply) IPhone/Smart Phone Facebook Twitter Other social websites Internet for purchases Internet for research Visit local websites (businesses, community groups, events) Visit national websites (Google, YouTube, Facebook, Amazon, Yahoo) Visit community paper website Other (please specify) Question Title * 10. Which of the following, if any, would best describe your highest priority for government? (Check all that apply. Please choose your most important priorities.) Cut spending/ balance budget Healthcare for all Education Employment National Defense The economy Immigration Other (please specify) Question Title * 11. Do you do one or more of the following? (Check all that apply) I take part in the caucus I volunteer with political candidates/campaigns I donate financially to candidates/causes I vote in all local, county, state and national elections Other (please specify) Question Title * 12. How well do you trust your existing LOCAL elected officials to represent you? I trust them very much I somewhat trust them I somewhat distrust them I do not trust them at all Other (please specify) Question Title * 13. How well do you trust your existing elected STATE officials to represent you? I trust them very much I somewhat trust them I somewhat distrust them I do not trust them at all Other (please specify) Question Title * 14. How well do you trust your existing elected NATIONAL officials to represent you? I trust them very much I somewhat trust them I somewhat distrust them I do not trust them at all Other (please specify) Question Title * 15. If you could send a message to local, state, or national politicians what would it be? Question Title * 16. Community Papers Michigan is an association of over 100 member papers throughout the state. Before you complete your contact information below to enter the drawing for a $250 gift certificate to an advertiser in your community paper, please take a moment to tell Community Papers of Michigan anything you would like about the community paper in your area. Write as much or little as you like then enter your contact information below. If you do not want to enter the drawing just click the button at the bottom of the page to complete the survey. Question Title * 17. To enter the drawing for a $250 gift certificate to an advertiser in your community paper please enter your contact information below. If you do not want to enter the drawing just click the button below to complete the survey. Your contact information will not be used for any other purposes. Name: Address: Address 2: City/Town: State: -- select state -- AL AlabamaAK AlaskaAS American SamoaAZ ArizonaAR ArkansasCA CaliforniaCO ColoradoCT ConnecticutDE DelawareDC District of ColumbiaFM Federated States of MicronesiaFL FloridaGA GeorgiaGU GuamHI HawaiiID IdahoIL IllinoisIN IndianaIA IowaKS KansasKY KentuckyLA LouisianaME MaineMH Marshall IslandsMD MarylandMA MassachusettsMI MichiganMN MinnesotaMS MississippiMO MissouriMT MontanaNE NebraskaNV NevadaNH New HampshireNJ New JerseyNM New MexicoNY New YorkNC North CarolinaND North DakotaMP Northern Mariana IslandsOH OhioOK OklahomaOR OregonPW PalauPA PennsylvaniaPR Puerto RicoRI Rhode IslandSC South CarolinaSD South DakotaTN TennesseeTX TexasUT UtahVT VermontVI Virgin IslandsVA VirginiaWA WashingtonWV West VirginiaWI WisconsinWY Wyoming ZIP: Email Address: Phone Number: Done