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<!DOCTYPE html>
<html class="house no-js">
<head>
<title>Congressional Questionnaire | PCCC 2014</title>
<link media="screen" href="https://netdna.bootstrapcdn.com/bootstrap/3.1.1/css/bootstrap.min.css" rel="stylesheet">
<link media="screen" href="localhost:4000/long-survey.css" rel="stylesheet">
<link media="screen" href="http://fonts.googleapis.com/css?family=Open+Sans+Condensed:700|Open+Sans:400,600" rel="stylesheet">
</head>
<body>
<header>
<img src="https://s3.amazonaws.com/s3.boldprogressives.org/images/pccc-logo.jpg">
</header>
<div id="title">
<div class="container">
<h1>PCCC Congressional 2014 Questionnaire</h1>
</div>
</div>
<div class="container long-survey-bg">
<form method="POST" action="/act/">
{% if args.akid %}
<input type="hidden" name="akid" value="{{ args.akid }}" />
{% endif %}
{% if args.action_id %}
<input type="hidden" name="action_id" value="{{ args.action_id }}" />
{% endif %}
<input type="hidden" name="page" value="bpo_main" />
<input type="hidden" name="action_survey_token"
value="{{ args.action_survey_token }}" />
<div id="survey-steps" class="carousel slide" data-interval="false" data-ride="carousel">
<!-- Indicators -->
<div class="row">
<div class="col-md-6 pull">
<p class="sm-label">Completion Progress</p>
<ul id="prog-container" class="carousel-indicators">
<li data-target="#survey-steps" class="ak-progress active" data-slide-to="0">1</li>
<li data-target="#survey-steps" class="ak-progress">2</li>
<li data-target="#survey-steps" class="ak-progress">3</li>
<li data-target="#survey-steps" class="ak-progress">4</li>
<li data-target="#survey-steps" class="ak-progress">5</li>
<li data-target="#survey-steps" class="ak-progress">6</li>
<li data-target="#survey-steps" class="ak-progress">7</li>
<li data-target="#survey-steps" class="ak-progress">8</li>
<li data-target="#survey-steps" class="ak-progress">9</li>
<li data-target="#survey-steps" class="ak-progress">10</li>
<li data-target="#survey-steps" class="ak-progress">11</li>
<li data-target="#survey-steps" class="ak-progress">12</li>
</ul>
</div>
</div>
<div class="carousel-inner">
<div class="item active">
<section id="background-information">
<a href="#background-information" id="background-information"></a>
<div class="row">
<div class="col-md-6 pull"></div>
<div class="col-md-6 section-title">
<h2>Background Information</h2>
<aside class="ball-blue">
Answers To This Section Will Be Made Public
</aside>
</div>
</div>
<hr>
<div class="row">
<div class="col-sm-6 long-survey-item">
<p><label>Email Address:<br>
<input name="email" placeholder=""></label></p>
<p><label>First Name:<br>
<input name="first_name" placeholder=""></label></p>
<p><label>Last Name:<br>
<input name="last_name" placeholder=""></label></p>
<p><label>Office you are running for:<br>
<input name="action_campaign_office_sought" placeholder=""></label></p>
<p><label>State:<br>
<input name="action_campaign_state" placeholder=""></label></p>
<p><label>Congressional District:<br>
<input name="action_campaign_district" placeholder=""></label></p>
<p><label>Campaign Address:<br>
<input name="action_campaign_address" placeholder=""></label></p>
<p><label>Campaign Website:<br>
<input name="action_campaign_website" placeholder=""></label></p>
<p><label>Twitter:<br>
<input name="action_campaign_twitter" placeholder=""></label></p>
<p><label>Facebook:<br>
<input name="action_campaign_facebook"></label></p>
</div>
<div class="col-sm-6 long-survey-item">
<p><label>Type of Race <span class="sm-note">(Open Seat, Challenging Incumbent Republican, Challenging Incumbent Democrat, Incumbent):</span><br>
<input name="action_type_of_race" placeholder=""></label></p>
<p><label>How many years have you lived in your state or district?<br>
<input name="action_years_in_area" placeholder=""></label></p>
<p><label>Are you a current or former elected official? If yes, what office(s)?<br>
<input name="action_current_or_former" placeholder=""></label></p>
<p><label>General Election Date:<br>
<input name="action_gen_election_date" placeholder=""></label></p>
<p><label>Primary Election Date:<br>
<input name="action_primary_election_date" placeholder=""></label></p>
<p><label>When is the filing deadline to get on the ballot?<br>
<input name="action_filing_deadline" placeholder=""></label></p>
<p><label>Why are you running for office in 27 words or less?<br>
<textarea name="action_27words" placeholder=""></textarea></label></p>
</div>
</div><!-- .row -->
<div class="row">
<div class="col-sm-4 col-sm-offset-8 long-survey-item">
<a class="btn next-btn">save and continue</a>
</div>
</div>
</section>
</div>
<div class="item">
<section id="jobs-and-unions">
<a href="#jobs-and-unions" id="jobs-and-unions"></a>
<div class="row">
<div class="col-md-6 pull"></div>
<div class="col-md-6 section-title">
<h2>Jobs & Unions</h2>
<aside class="ball-blue">
Answers To This Section Will Be Made Public
</aside>
</div>
</div>
<hr>
<div class="row">
<div class="col-sm-6 long-survey-item">
<p>Do you support a major public investment in jobs, such as repairing crumbling schools and highways, wiring the country with high-speed Internet, and ensuring that states have the resources needed to keep teachers, police, and firefighters working?</p><label><input type="radio" name="action_ju_public_investment" value="yes"> Yes</label> <label><input type="radio" name="action_ju_public_investment" value="no"> No</label>
</div>
<div class="col-sm-6 long-survey-item">
<p>Do you support a strong Employee Free Choice Act, along the lines of the original proposal in 2007, which would increase democracy in the workplace with “card-check” elections?</p><label><input type="radio" name="action_ju_efca" value="yes"> Yes</label> <label><input type="radio" name="action_ju_efca" value="no"> No</label>
</div>
</div><!-- .row -->
<div class="row">
<div class="col-sm-6 long-survey-item">
<p>Do you support raising the minimum wage to $10 or more and indexing it at least to the cost of living?</p><label><input type="radio" name="action_ju_minimum_wage" value="yes"> Yes</label> <label><input type="radio" name="action_ju_minimum_wage" value="no"> No</label>
</div>
<div class="col-sm-6 long-survey-item">
<p>Do you support repealing Taft-Hartley, which allows anti-union “right to work” laws in the states?</p><label><input type="radio" name="action_ju_repeal_right_to_work" value="yes"> Yes</label> <label><input type="radio" name="action_ju_repeal_right_to_work" value="no"> No</label>
</div>
</div><!-- .row -->
<div class="row">
<div class="col-sm-6 long-survey-item">
<p>Comments on any of your responses for this section:</p>
<textarea rows="4" name="action_ju_comment">
</textarea>
</div><!--.col-sm-6-->
</div>
<div class="row">
<div class="col-sm-3 long-survey-item">
<a href="#background-information" class="btn prev-btn">back</a>
</div>
<div class="col-md-4 col-md-offset-5 long-survey-item">
<a href="#social-insurance" class="btn next-btn">save and continue</a>
</div>
</div>
</section>
</div>
<div class="item ">
<section id="social-insurance">
<a href="#social-insurance" id="social-insurance"></a>
<div class="row">
<div class="col-md-6 pull"></div>
<div class="col-md-6 section-title">
<h2>Social Insurance</h2>
<aside class="ball-blue">
Answers To This Section Will Be Made Public
</aside>
</div>
</div>
<hr>
<div class="row">
<div class="col-sm-6 long-survey-item">
<p>Will you vote against any bill that cuts Social Security benefits, Medicare benefits, or Medicaid benefits – including raising the retirement age and cutting cost-of-living adjustments? (Benefit cuts can be defined as anything that makes beneficiaries pay more for their care.)</p><label><input type="radio" name="action_si_no_benefit_cuts" value="yes"> Yes</label> <label><input type="radio" name="action_si_no_benefit_cuts" value="no"> No</label>
</div>
<div class="col-sm-6 long-survey-item">
<p>Do you support adding trillions to Social Security’s current surplus by “scrapping the cap” so that millionaires and billionaires pay Social Security taxes on more than just the first $113,000 of their income?</p><label><input type="radio" name="action_si_scrap_the_cap" value="yes"> Yes</label> <label><input type="radio" name="action_si_scrap_the_cap" value="no"> No</label>
</div>
</div><!-- .row -->
<div class="row">
<div class="col-sm-6 long-survey-item">
<p>Do you support saving taxpayers $130 billion by allowing Medicare and Medicaid to negotiate prices with pharmaceutical companies?</p><label><input type="radio" name="action_si_negotiate_pharma" value="yes"> Yes</label> <label><input type="radio" name="action_si_negotiate_pharma" value="no"> No</label>
</div>
<div class="col-sm-6 long-survey-item">
<p>Do you support a Medicare Buy-In for All, which would allow any American to buy into the federal Medicare program?</p><label><input type="radio" name="action_si_medicare_buyin" value="yes"> Yes</label> <label><input type="radio" name="action_si_medicare_buyin" value="no"> No</label>
</div>
</div><!-- .row -->
<div class="row">
<div class="col-sm-6 long-survey-item">
<p>Given that corporations are increasingly eliminating pensions, do you support the call from Elizabeth Warren and others in Congress to expand Social Security benefits, paid for by “scrapping the cap” on what high-income earners pay into Social Security?</p><label><input type="radio" name="action_si_expand_ss" value="yes"> Yes</label> <label><input type="radio" name="action_si_expand_ss" value="no"> No</label>
</div>
<div class="col-sm-6 long-survey-item">
<p>Comments on any of your responses for this section:</p>
<textarea rows="4" name="action_si_comment">
</textarea>
</div><!--.col-sm-6-->
</div>
<div class="row">
<div class="col-sm-3 long-survey-item">
<a href="#jobs-and-unions" class="btn prev-btn">back</a>
</div>
<div class="col-md-4 col-md-offset-5 long-survey-item">
<a href="#wall-street" class="btn next-btn">save and continue</a>
</div>
</div>
</section>
</div>
<div class="item">
<section id="wall-street">
<a href="#wall-street" id="wall-street"></a>
<div class="row">
<div class="col-md-6 pull"></div>
<div class="col-md-6 section-title">
<h2>Wall Street and Corporations</h2>
<aside class="ball-blue">
Answers To This Section Will Be Made Public
</aside>
</div>
</div>
<hr>
<div class="row">
<div class="col-sm-6 long-survey-item">
<p>Do you support breaking up “too big to fail” financial institutions, even if that means breaking up some of the major power players on Wall Street?</p><label><input type="radio" name="action_ws_break_up_the_banks" value="yes"> Yes</label> <label><input type="radio" name="action_ws_break_up_the_banks" value="no"> No</label>
</div>
<div class="col-sm-6 long-survey-item">
<p>Do you believe there has been adequate prosecution of bankers that engaged in illegal activity before and during the 2007-2008 financial crisis?</p><label><input type="radio" name="action_ws_adequate_prosecution" value="yes"> Yes</label> <label><input type="radio" name="action_ws_adequate_prosecution" value="no"> No</label>
</div>
</div><!-- .row -->
<div class="row">
<div class="col-sm-6 long-survey-item">
<p>Do you support restoring the wall between commercial and investment banking (Glass-Steagall) to protect families’ savings from being used for risky Wall Street speculation?</p><label><input type="radio" name="action_ws_glass_steagall" value="yes"> Yes</label> <label><input type="radio" name="action_ws_glass_steagall" value="no"> No</label>
</div>
<div class="col-sm-6 long-survey-item">
<p>Do you support a financial transactions fee (aka “speculator’s fee”) which would impact major investors, not ordinary investors, in order to make Wall Street pay their fair share and reduce reckless speculation?</p><label><input type="radio" name="action_ws_speculator_fee" value="yes"> Yes</label> <label><input type="radio" name="action_ws_speculator_fee" value="no"> No</label>
</div>
</div><!-- .row -->
<div class="row">
<div class="col-sm-6 long-survey-item">
<p>The federal government currently lends to banks at very low interest rates. Would you support a plan to extend those low rates to student loans?</p><label><input type="radio" name="action_ws_low_interest_sudent_loan" value="yes"> Yes</label> <label><input type="radio" name="action_ws_low_interest_sudent_loan" value="no"> No</label>
</div>
<div class="col-sm-6 long-survey-item">
<p>Do you support giving shareholders a binding vote to approve or disapprove of CEO pay packages?</p><label><input type="radio" name="action_ws_shareholder_vote_ceo_pay" value="yes"> Yes</label> <label><input type="radio" name="action_ws_shareholder_vote_ceo_pay" value="no"> No</label>
</div>
</div><!-- .row -->
<div class="row">
<div class="col-sm-6 long-survey-item">
<p>Do you support a “public option” in banking to provide public loans and payment services that compete with Wall Street?</p><label><input type="radio" name="action_ws_public_option_bank" value="yes"> Yes</label> <label><input type="radio" name="action_ws_public_option_bank" value="no"> No</label>
</div>
<div class="col-sm-6 long-survey-item">
<p>Comments on any of your responses for this section:</p>
<textarea rows="4" name="action_ws_comment">
</textarea>
</div><!--.col-sm-6-->
</div>
<div class="row">
<div class="col-sm-3 long-survey-item">
<a href="#social-insurance" class="btn prev-btn">back</a>
</div>
<div class="col-md-4 col-md-offset-5 long-survey-item">
<a href="#fair-taxation" class="btn next-btn">save and continue</a>
</div>
</div>
</section>
</div>
<div class="item">
<section id="fair-taxation">
<a href="#fair-taxation" id="fair-taxation"></a>
<div class="row">
<div class="col-md-6 pull"></div>
<div class="col-md-6 section-title">
<h2>Fair Taxation</h2>
<aside class="ball-blue">
Answers To This Section Will Be Made Public
</aside>
</div>
</div>
<hr>
<div class="row">
<div class="col-sm-6 long-survey-item">
<p>Do you support increasing income taxes on those making over $250,000 a year in wages or capital gains so that our system of taxation is more progressive and everyone pays their fair share?</p><label><input type="radio" name="action_tax_increase" value="yes"> Yes</label> <label><input type="radio" name="action_tax_increase" value="no"> No</label>
</div>
<div class="col-sm-6 long-survey-item">
<p>The Fairness In Taxation Act (HR 1723) would raise nearly a trillion dollars over 10 years by raising taxes on income above $1 million per year. It would go beyond the current top rate of 39.6% and be 45% for incomes above $1 million, 46% above $10 million, 47% above $20 million, 48% above $100 million, and 49% above $1 billion – all below the top rate of 50% under Ronald Reagan. Will you co-sponsor this bill in Congress?</p><label><input type="radio" name="action_tax_cosponsor_hr1723" value="yes"> Yes</label> <label><input type="radio" name="action_tax_cosponsor_hr1723" value="no"> No</label>
</div>
</div><!-- .row -->
<div class="row">
<div class="col-sm-6 long-survey-item">
<p>Do you support ending “carried interest” – the loophole that allows Mitt Romney to pay 14% or less in taxes?</p><label><input type="radio" name="action_tax_carried_interest" value="yes"> Yes</label> <label><input type="radio" name="action_tax_carried_interest" value="no"> No</label>
</div>
<div class="col-sm-6 long-survey-item">
<p>Do you agree that tax reform that is “revenue neutral” represents a lost opportunity to make big corporations pay their fair share toward vital investments like infrastructure?</p><label><input type="radio" name="action_tax_lost_opportunity" value="yes"> Yes</label> <label><input type="radio" name="action_tax_lost_opportunity" value="no"> No</label>
</div>
</div><!-- .row -->
<div class="row">
<div class="col-sm-6 long-survey-item">
<p>Comments on any of your responses for this section:</p>
<textarea rows="4" name="action_tax_comment">
</textarea>
</div><!--.col-sm-6-->
</div>
<div class="row">
<div class="col-sm-3 long-survey-item">
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<div class="col-md-6 pull"></div>
<div class="col-md-6 section-title">
<h2>Democracy</h2>
<aside class="ball-blue">
Answers To This Section Will Be Made Public
</aside>
</div>
</div>
<hr>
<div class="row">
<div class="col-sm-6 long-survey-item">
<p>Do you support establishing a system of elections in which candidates who choose to accept only small donations (below a level around $150) receive matching funds, allowing candidates to spend more time talking to voters and less time calling wealthy out-of-state donors?</p><label><input type="radio" name="action_d_public_finance" value="yes"> Yes</label> <label><input type="radio" name="action_d_public_finance" value="no"> No</label>
</div>
<div class="col-sm-6 long-survey-item">
<p>Do you support reforming our voting system by implementing “same-day voter registration” nationwide?</p><label><input type="radio" name="action_d_same_day_registration" value="yes"> Yes</label> <label><input type="radio" name="action_d_same_day_registration" value="no"> No</label>
</div>
</div><!-- .row -->
<div class="row">
<div class="col-sm-6 long-survey-item">
<p>Do you support a constitutional amendment to reverse the impact of Citizens United and fix campaign finance problems that pre-date Citizens United?</p><label><input type="radio" name="action_d_reverse_citizens_united" value="yes"> Yes</label> <label><input type="radio" name="action_d_reverse_citizens_united" value="no"> No</label>
</div>
<div class="col-sm-6 long-survey-item">
<p>Do you support requiring corporations to seek approval from shareholders before spending funds on political campaigns?</p><label><input type="radio" name="action_d_require_shareholder_approval" value="yes"> Yes</label> <label><input type="radio" name="action_d_require_shareholder_approval" value="no"> No</label>
</div>
</div><!-- .row -->
<div class="row">
<div class="col-sm-6 long-survey-item">
<p>Will you fight to ensure voting rights for all Americans age 18 and above are protected with no exceptions?</p><label><input type="radio" name="action_d_universal_voting_rights" value="yes"> Yes</label> <label><input type="radio" name="action_d_universal_voting_rights" value="no"> No</label>
</div>
<div class="col-sm-6 long-survey-item">
<p>Would you agree to at least one Open Debate in your race for Congress with questions submitted and chosen by the public online?</p><label><input type="radio" name="action_d_open_debate" value="yes"> Yes</label> <label><input type="radio" name="action_d_open_debate" value="no"> No</label>
</div>
</div><!-- .row -->
<div class="row">
<div class="col-sm-6 long-survey-item">
<p>Comments on any of your responses for this section:</p>
<textarea rows="4" name="action_d_comment">
</textarea>
</div><!--.col-sm-6-->
</div>
<div class="row">
<div class="col-sm-3 long-survey-item">
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<div class="item">
<section id="environment">
<a href="#environment" id="environment"></a>
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<div class="col-md-6 pull"></div>
<div class="col-md-6 section-title">
<h2>Environment</h2>
<aside class="ball-blue">
Answers To This Section Will Be Made Public
</aside>
</div>
</div>
<hr>
<div class="row">
<div class="col-sm-6 long-survey-item">
<p>Do you believe global warming is real, caused by humans, and requires immediate action from the government?</p><label><input type="radio" name="action_env_global_warming_real" value="yes"> Yes</label> <label><input type="radio" name="action_env_global_warming_real" value="no"> No</label>
</div>
<div class="col-sm-6 long-survey-item">
<p>Do you support public investment in renewable energy and energy efficiency, paid for by a carbon tax, to generate good jobs and growth while reducing carbon emissions?</p><label><input type="radio" name="action_env_carbon_tax" value="yes"> Yes</label> <label><input type="radio" name="action_env_carbon_tax" value="no"> No</label>
</div>
</div><!-- .row -->
<div class="row">
<div class="col-sm-6 long-survey-item">
<p>Do you oppose the construction of the Keystone XL Pipeline?</p><label><input type="radio" name="action_env_oppose_keystone_xl" value="yes"> Yes</label> <label><input type="radio" name="action_env_oppose_keystone_xl" value="no"> No</label>
</div>
<div class="col-sm-6 long-survey-item">
<p>Do you support a repeal of the fracking exemption from the Safe Drinking Water Act?</p><label><input type="radio" name="action_env_repeal_fracking_exemption" value="yes"> Yes</label> <label><input type="radio" name="action_env_repeal_fracking_exemption" value="no"> No</label>
</div>
</div><!-- .row -->
<div class="row">
<div class="col-sm-6 long-survey-item">
<p>Comments on any of your responses for this section:</p>
<textarea rows="4" name="action_env_comment">
</textarea>
</div><!--.col-sm-6-->
</div>
<div class="row">
<div class="col-sm-3 long-survey-item">
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<div class="col-md-6 pull"></div>
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<h2>Fight Theory</h2>
<aside class="ball-blue">
Answers To This Section Will Be Made Public
</aside>
</div>
</div>
<hr>
<div class="row">
<div class="col-sm-6 long-survey-item">
<p>Are you willing to make promises (aka take “pledges”) on some issues that represent your core Democratic and progressive beliefs, so that voters know on which issues you will draw a line in the sand?</p><label><input type="radio" name="action_ft_pledges" value="yes"> Yes</label> <label><input type="radio" name="action_ft_pledges" value="no"> No</label>
</div>
<div class="col-sm-6 long-survey-item">
<p>If over 75% of the public supports the progressive position held by congressional Democrats on a high-profile issue, and less than 25% supports the position held by congressional Republicans, would you fight for the progressive position against obstructionist Republicans?</p><label><input type="radio" name="action_ft_fight_obstructionist_gop" value="yes"> Yes</label> <label><input type="radio" name="action_ft_fight_obstructionist_gop" value="no"> No</label>
</div>
</div><!-- .row -->
<div class="row">
<div class="col-sm-6 long-survey-item">
<p>If elected, do you promise not to join the Blue Dog Caucus, the New Democrat Caucus, or Third Way?</p><label><input type="radio" name="action_ft_no_bad_caucuses" value="yes"> Yes</label> <label><input type="radio" name="action_ft_no_bad_caucuses" value="no"> No</label>
</div>
<div class="col-sm-6 long-survey-item">
<p>If elected to the House, do you promise to be a dues-paying member of the Congressional Progressive Caucus and work to make it the most effective bloc possible?</p><label><input type="radio" name="action_ft_join_progressive_caucus" value="yes"> Yes</label> <label><input type="radio" name="action_ft_join_progressive_caucus" value="no"> No</label>
</div>
</div><!-- .row -->
<div class="row">
<div class="col-sm-6 long-survey-item">
<p>Comments on any of your responses for this section:</p>
<textarea rows="4" name="action_ft_comment">
</textarea>
</div><!--.col-sm-6-->
</div>
<div class="row">
<div class="col-sm-3 long-survey-item">
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<div class="item">
<section id="other">
<a href="#other" id="other"></a>
<div class="row">
<div class="col-md-6 pull"></div>
<div class="col-md-6 section-title">
<h2>Other</h2>
<aside class="ball-blue">
Answers To This Section Will Be Made Public
</aside>
</div>
</div>
<hr>
<div class="row">
<div class="col-sm-6 long-survey-item">
<p>Do you support, and will you work to uphold, the rights decided by Roe v. Wade?</p><label><input type="radio" name="action_ot_support_roe" value="yes"> Yes</label> <label><input type="radio" name="action_ot_support_roe" value="no"> No</label>
</div>
<div class="col-sm-6 long-survey-item">
<p>Do you support allowing gay couples to marry and receive benefits equal to those of same-sex married couples?</p><label><input type="radio" name="action_ot_marriage_equality" value="yes"> Yes</label> <label><input type="radio" name="action_ot_marriage_equality" value="no"> No</label>
</div>
</div><!-- .row -->
<div class="row">
<div class="col-sm-6 long-survey-item">
<p>Do you support comprehensive immigration reform that includes a path to citizenship?</p><label><input type="radio" name="action_ot_immigration_reform" value="yes"> Yes</label> <label><input type="radio" name="action_ot_immigration_reform" value="no"> No</label>
</div>
<div class="col-sm-6 long-survey-item">
<p>A federal judge recently called the NSA’s mass surveillance of the phone and Internet records of millions of everyday Americans “Orwellian” and unconstitutional. Will you fight to stop the NSA’s mass surveillance?</p><label><input type="radio" name="action_ot_stop_nsa_spying" value="yes"> Yes</label> <label><input type="radio" name="action_ot_stop_nsa_spying" value="no"> No</label>
</div>
</div><!-- .row -->
<div class="row">
<div class="col-sm-6 long-survey-item">
<p>Do you support the principle of Network Neutrality to guarantee the Internet is a level playing field for all users?</p><label><input type="radio" name="action_ot_net_neutrality" value="yes"> Yes</label> <label><input type="radio" name="action_ot_net_neutrality" value="no"> No</label>
</div>
<div class="col-sm-6 long-survey-item">
<p>Do you support strengthening gun background check laws?</p><label><input type="radio" name="action_ot_gun_background_checks" value="yes"> Yes</label> <label><input type="radio" name="action_ot_gun_background_checks" value="no"> No</label>
</div>
</div><!-- .row -->
<div class="row">
<div class="col-sm-6 long-survey-item">
<p>Comments on any of your responses for this section:</p>
<textarea rows="4" name="action_gun_comment">
</textarea>
</div><!--.col-sm-6-->
</div>
<div class="row">
<div class="col-sm-3 long-survey-item">
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<div class="item">
<section id="short-answer">
<a href="#short-answer" id="short-answer"></a>
<div class="row">
<div class="col-md-6 pull"></div>
<div class="col-md-6 section-title">
<h2>Short Answers</h2>
<aside class="ball-blue">
Answers To This Section Will Be Made Public
</aside>
</div>
</div>
<hr>
<div class="row">
<div class="col-sm-6 long-survey-item">
<p>Republican President and military general Dwight Eisenhower said 50 years ago, “We must guard against the acquisition of unwarranted influence, whether sought or unsought, by the military-industrial complex. The potential for the disastrous rise of misplaced power exists and will persist.” What do you think the state of the military-industrial complex is today?</p>
</div>
<div class="col-sm-6 long-survey-item">
<textarea name="action_sa_military_industrial" rows="5">
</textarea>
</div>
</div>
<div class="row">
<div class="col-sm-6 long-survey-item">
<p>Can you share a time in your career or background when you challenged the Democratic Party establishment?</p>
</div>
<div class="col-sm-6 long-survey-item">
<textarea name="action_sa_challenged_dem_establishment" rows="5">
</textarea>
</div>
</div>
<div class="row">
<div class="col-sm-6 long-survey-item">
<p>Can you share specific examples where you worked with grassroots groups or the larger progressive movement to achieve a goal?</p>
</div>
<div class="col-sm-6 long-survey-item">
<textarea name="action_sa_worked_with_movement" rows="5">
</textarea>
</div>
</div>
<div class="row">
<div class="col-sm-6 long-survey-item">
<p>What, if anything, would you change in the Affordable Care Act – and the Democratic strategy during the health care fight?</p>
</div>
<div class="col-sm-6 long-survey-item">
<textarea name="action_sa_change_healthcare_fight" rows="5">
</textarea>
</div>
</div>
<div class="row">
<div class="col-sm-6 long-survey-item">
<p>What does an “inside-outside partnership” between elected leaders on the inside and the grassroots on the outside look like, and how will it impact your governing?</p>
</div>
<div class="col-sm-6 long-survey-item">
<textarea name="action_sa_inside_outside" rows="5">
</textarea>
</div>
</div>
<div class="row">
<div class="col-sm-3 long-survey-item">
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<a href="#nuts-and-bolts" id="nuts-and-bolts"></a>
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<div class="col-md-6 section-title">
<h2>Campaign Nuts-and-Bolts</h2>
<aside class="ball-blue">
Confidential. Answers To This Section Will Be Kept Private.
</aside>
</div>
</div>
<hr>
<div class="row">
<div class="col-sm-6 long-survey-item">
<p>What do you expect turnout among registered voters to be like in your primary election? And how many votes will you need to win?</p>
</div>
<div class="col-sm-6 long-survey-item">
<textarea name="action_nb_votes_primary" rows="5">
</textarea>
</div>
</div>
<div class="row">
<div class="col-sm-6 long-survey-item">
<p>What do you expect turnout among registered voters to be like in your general election? And how many votes will you need to win?</p>
</div>
<div class="col-sm-6 long-survey-item">
<textarea name="action_nb_votes_general" rows="5">
</textarea>
</div>
</div>
<div class="row">
<div class="col-sm-6 long-survey-item">
<p>How will you reach those vote goals?</p>
</div>
<div class="col-sm-6 long-survey-item">
<textarea name="action_nb_votes_how" rows="5">
</textarea>
</div>
</div>
<div class="row">
<div class="col-sm-6 long-survey-item">
<p>How much money do you need to raise to win?</p>
</div>
<div class="col-sm-6 long-survey-item">
<textarea name="action_nb_raise_total" rows="5">
</textarea>
</div>
</div>
<div class="row">
<div class="col-sm-6 long-survey-item">
<p>How much time do you personally plan to spend campaigning?</p>
</div>
<div class="col-sm-6 long-survey-item">
<textarea name="action_nb_time_campaigning" rows="5">
</textarea>
</div>
</div>
<div class="row">
<div class="col-sm-6 long-survey-item">
<p>What staff positions have you filled so far?</p>
</div>
<div class="col-sm-6 long-survey-item">
<textarea name="action_nb_staff_filled" rows="5">
</textarea>
</div>
</div>
<div class="row">
<div class="col-sm-6 long-survey-item">
<p>Have you received any notable endorsements or support so far?</p>
</div>
<div class="col-sm-6 long-survey-item">
<textarea name="action_nb_endorsements" rows="5">
</textarea>
</div>
</div>
<div class="row">
<div class="col-sm-6 long-survey-item">
<p>Moving forward, what talent or resources does your campaign need most?</p>
</div>
<div class="col-sm-6 long-survey-item">
<textarea name="action_nb_resources_needed" rows="5">
</textarea>
</div>
</div>
<div class="row">
<div class="col-sm-6 long-survey-item">
<p>Candidate’s direct contact information: (Name, Email, Phone, Address)</p>
</div>
<div class="col-sm-6 long-survey-item">
<textarea name="action_nb_contact_candidate" rows="5">
</textarea>
</div>
</div>
<div class="row">
<div class="col-sm-6 long-survey-item">
<p>Please add contact information for any staff or consultants you may have: (Name, Email, Phone)</p>
</div>
</div>
<div class="row">
<div class="col-sm-6 long-survey-item">
<p>Campaign Manager</p>
</div>
<div class="col-sm-6 long-survey-item">
<textarea name="action_contact_campaign_manager" rows="5">
</textarea>
</div>
</div>
<div class="row">
<div class="col-sm-6 long-survey-item">
<p>Advisor</p>
</div>
<div class="col-sm-6 long-survey-item">
<textarea name="action_nb_contact_advisor" rows="5">
</textarea>
</div>
</div>
<div class="row">
<div class="col-sm-6 long-survey-item">
<p>Finance Director</p>
</div>
<div class="col-sm-6 long-survey-item">
<textarea name="action_nb_finance_director" rows="5">
</textarea>
</div>
</div>
<div class="row">
<div class="col-sm-6 long-survey-item">
<p>Communications Director</p>
</div>
<div class="col-sm-6 long-survey-item">
<textarea name="action_nb_contact_communications_director" rows="5">
</textarea>
</div>
</div>
<div class="row">
<div class="col-sm-6 long-survey-item">
<p>Field Director</p>
</div>
<div class="col-sm-6 long-survey-item">
<textarea name="action_nb_contact_field_director" rows="5">
</textarea>
</div>
</div>
<div class="row">
<div class="col-sm-6 long-survey-item">
<p>New Media</p>
</div>
<div class="col-sm-6 long-survey-item">
<textarea name="action_nb_contact_new_media" rows="5">
</textarea>
</div>
</div>
<div class="row">
<div class="col-sm-6 long-survey-item">
<p>Media Consultant</p>
</div>
<div class="col-sm-6 long-survey-item">
<textarea name="action_nb_contact_media_consultant" rows="5">
</textarea>
</div>
</div>
<div class="row">
<div class="col-sm-6 long-survey-item">
<p>Pollster</p>
</div>
<div class="col-sm-6 long-survey-item">
<textarea name="action_nb_contact_pollster" rows="5">
</textarea>
</div>
</div>
<div class="row">
<div class="col-sm-6 long-survey-item">
<p>Direct Mail Consultant</p>
</div>
<div class="col-sm-6 long-survey-item">
<textarea name="action_nb_contact_direct_mail" rows="5">
</textarea>
</div>
</div>
<div class="row">
<div class="col-sm-6 long-survey-item">
<p>Other</p>
</div>
<div class="col-sm-6 long-survey-item">
<textarea name="action_nb_contact_other" rows="5">
</textarea>
</div>
</div>
<div class="row">
<div class="col-sm-3 long-survey-item">
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<a href="#submit-and-mail" id="submit-and-mail"></a>
<div class="row">
<div class="col-md-6 pull"></div>
<div class="col-md-6 section-title">
<h2>Last Step: Submit Questionnaire and Mail the Hard Copy</h2>
<aside class="ball-blue">
Confidential. Answers To This Section Will Be Kept Private.
</aside>
</div>
</div>
<hr>
<div class="row">
<div class="col-sm-6 long-survey-item">
<p>Now that you have finished the questionnaire, review your answers and click “submit” at the bottom. Then click “print”, sign each page, and mail to PCCC P.O. Box 73395, Washington, D.C. 20056. If you have any questions about the status of your questionnaire, follow up with Kayla or email <a href="mailto:[email protected]">[email protected]</a>.</p>
<textarea name="action_all_responses" disabled>
This is the part that contains all their responses
</textarea><br>
</div>
</div>