New Resident Survey

First Name

Last Name

Cell Phone () -

Email Address*

Home Address

Street 1 Street 2 City State Zip

1. If there is one thing you would like to tell me as your Senator in Springfield, what would that message be?

2. The 26th District has much to offer and I’m glad to call you a neighbor. What attracted you to this part of the state? (i. Schools, work, family, general quality of life, etc.)

3. My office can often help when a constituent has an issue with the State of Illinois or other units of government. Are there any issues where we could be of assistance?

4. In general, do you believe Illinois’ gun laws are too strict, too lax, or just about right?

Too strict

Too lax

Just about right

5. Would you support green energy proposals even if it meant higher utility bills?

Yes

No

Undecided

6. Would you support moving from a flat state income tax to a graduated income tax?

Yes

No

Undecided

7. In general, do you consider yourself pro-life or pro-choice?

Pro-life

Pro-choice

Undecided

8. Are you an employee of the State of Illinois, a university, community college, or school district?

9. Are you a retired annuitant of the State of Illinois, a university, community college, or school district?

10. Are you a member of a labor union? If so, which?

11. Would you like to sign up for my e-newsletter to receive updates on statehouse news?

Yes

No

12. Would you like to sign up for text updates?

Yes

No