She Should Run: Survey - She Should Run: Join!

Part I: Personal Information

Please enter your information:

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Name:

First Required	Last Required

*

Email: Required

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City:

City Required	State Required

Gender:

Yes, I would like to receive more information about running for office from She Should Run.

Remember me. What's this?

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Question - Required - Tell us about your interest in running for office:

Question - Not Required - Can we share your first name and your comments in our marketing materials?:

Yes, you can use my nomination.

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Question - Required - Tell us how you heard about She Should RunTM:

Question - Not Required - Please specify if applicable:

Part II: She Should Run profile

The following information is appreciated, but not required.

Question - Not Required - Age: 14-17
18-22
23-26
27-35
36-45
46-55
56-70
71+

Question - Not Required - Please indicate your race. Mark all that apply:

	African American
	Asian/ Pacific Islander
	Caucasian
	Hispanic
	Native American
	Other

Question - Not Required - Marital Status:

Question - Not Required - Do you have any children?: Yes
No

Question - Not Required - How many children do you have? Do they live at home?:

Question - Not Required - How much time do you spend per week on childcare and/or household responsibilities?: 0-5 hrs/week
6-10 hrs/week
11-20 hrs/week
21-40 hrs/week
40+ hrs/week

Question - Not Required - In what sector are/were you most recently employed?:

Question - Not Required - If other sector, please specify:

Question - Not Required - How many years of professional work experience do you have?:

Question - Not Required - Comment:

Question - Not Required - What is your party affiliation?: Democratic
Green
Independent
Republican
Other

Question - Not Required - If other party, please specify:

Question - Not Required - Comments:

(Maximum response 255 chars, approx. 5 rows of text)

Question - Not Required - Have you run for office before?: Yes
No

Question - Not Required - If you have run for office before, what office? What was the outcome?:

(Maximum response 255 chars, approx. 5 rows of text)

Question - Not Required - Are you currently running for office?: Yes
No

Question - Not Required - If you are currently running for office, what office?:

(Maximum response 255 chars, approx. 5 rows of text)

Question - Not Required - How likely are you to run for office in the future?: Already decided I'm running
Very likely
Likely
Not very likely

Question - Not Required - What would be most helpful to get you started running for office? Check more than one if applicable:

	Written training materials on campaign skills
	Online Training on campaign skills
	In-person training on campaign skills
	Connections to local civic leaders
	Connections to a mentor
	Experience volunteering on a campaign
	Other

Question - Not Required - If other, please share other ideas:

(Maximum response 255 chars, approx. 5 rows of text)

Question - Not Required - Which of the following factors would most influence your decision to run for office in the future? Check more than one if applicable:

	My knowledge about how to get started
	My knowledge about which office to seek
	My level of knowledge about relevant issues
	My level of professional experience
	My level of training in campaign skills
	My time commitment to children
	My time commitment to other family members
	Support from my family and friends
	Support from my local party
	Financial considerations
	Other

Question - Not Required - If other, please share other factors:

(Maximum response 255 chars, approx. 5 rows of text)

Question - Not Required - To what degree has your nomination for the She Should Run program affected your likelihood to seriously consider running for office?:

Question - Not Required - She Should Run would like to share your exciting She Should Run nomination with leaders in your state. Please indicate if you are willing to have your nominated shared: She Should Run can share my nomination with leaders in my state.
I would prefer that She Should Run NOT share my nomination with others.

Question - Not Required - Which of the following aspects of campaign organizing are you LEAST comfortable?:

	Fundraising
	Get Out The Vote (GOTV) Strategy
	Financial Planning
	Networking
	Press and Media
	Policy and Issue Formation
	Web 2.0 Online Social Networking

Question - Not Required - Which of the following aspects of campaign organizing are you MOST comfortable?:

	Fundraising
	Get Out The Vote (GOTV) Strategy
	Financial Planning
	Networking
	Press and Media
	Policy and Issue Formation
	Web 2.0 Online Social Networking

The She Should Run program was developed to target women during the decision making process. We focus our efforts using online and web based grassroots organizing tools. She Should Run is designed to connect women with training organizations and provide educational resources to explain the campaign process.

Question - Not Required - Do you feel She Should Run is a helpful program to encourage women to consider running for public office?: Yes
No