Constituent Survey

Please complete this brief survey so Delegate Englin can serve you better. If you sign up for our email newsletter, you will receive it approximately monthly throughout the year, and weekly when the General Assembly is in session.

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First Name*
Last Name*
E-mail Address*
Home Phone
Work Phone
Mobile Phone
Street Address*
City*
State*
Zip Code*

* required fields
This helps distinguish responses from constituents and non-constituents so Delegate Englin can use this feedback to represent you better.

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If I had to pick one issue of greatest concern to me in the upcoming election, it would be:

I would like Delegate Englin to spend most of his energy addressing the following issue or issues:
(Please check all that apply.)

Affordable Housing/Workforce Housing
Arts/Culture/Theater
Gun Control
Organized Labor
Veterans Issues
Cutting Taxes
Health Care
Ethics/Openness/Integrity in Government
Immigration
Education
Environment/Pollution/Global Warming/Alternative Energy
Poverty/Homelessness
Emergency Response/Preparedness
Controlling Development
Law and Civil Rights
Crime/Law Enforcement
Smoke-Free Restaurants and Workplaces
Economy and Jobs
Historic Preservation
Gas Prices/Energy Prices
GLBT Issues
Reproductive Rights

Other Issue

In terms of political philosophy, I consider myself to be:

In terms of political party, I consider myself to be:


If Delegate Englin could get one law passed in the General Assembly, it would be:

Additional feedback:

Please check over your responses and then press the “Save” button to submit them.