Constituent Survey2018-07-13T12:43:07-05:00

Constituent Survey

Help Monica better represent you.

    With what issue(s) are you most concerned?*
    State BudgetAffordable Health CareTaxesSenior Citizen Programs & Medical CareJobs and the EconomyEducationGun RightsWomen's IssuesOther (please explain)
    What are your specific concerns with these issues?
    What would you like to see done to address your concerns?

    Tell us who you are!

    Phone Number*
    Email Address*
    Zip Code*

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