How are you feeling about the current state of our country?

Mostly Good

Mostly Bad

Neutral

How has the cost of living (housing, groceries, etc.) impacted you and your family?

Costs Have Increased

Costs Have Stayed About the Same

Costs Have Gone Down

Not Sure

Are you concerned about extremism and political violence?

Yes

No

Please share any additional thoughts or concerns you have:  

Email Address*