60 Second Survey

Thank you for taking the time to answer my 60 Second Survey...

Your Name:

Your email:

Your home telephone:

Your mobile:

Data Protection Act:

No future information please.

If you do not wish to receive any future information via post or email about Conservative campaigns, please tick this box. The information you supply us with will be treated with the strictest of confidence in accordance with the Data Protection Act.

1. I want to get rid of Gordon because:
(Please tick all those which apply)

2. I want to vote for change because:

Conservatives can win

Fed up with Labour

3. What should the top priorities be for a new Government?
(Please tick top three)

4. How did you vote at the last General Election?

5. Have you ever voted Conservative?

Yes

6. How would you vote if the General Election is called tomorrow?

7. Would you like a postal vote?

Yes

8. If you have family or friends abroad (who are British Citizens) who might like to register to vote, please give their email address(es) and we will contact them:

Name 1:

email 1:

Name 2:

email 2:

9. I can help get rid of Gordon:

I can display a poster during an election:

In my garden

window

field

I can help deliver literature:

In my area

Not in my area

I can help on Polling day:

At Polling Station

Driving

In the Committee Room

I can help canvass:

On the doorstep

On the telephone

I can host:

A fund-raising event

A Committee Room

A meeting

I can help in the office:

Computer inputting

Stuffing envelopes

I would like to donate to campaign funds and will send a cheque for:

(Please make cheques payable to ‘LCCA’ and post to Philip Dunne MP, 54 Broad Street, Ludlow SY8 1GP