2. GenderO MaleO Female

3. Year of Birth __________

4. Marital Status

5. O MarriedO WidowedO DivorcedO SeparatedO Never married

6. Religion

7. O ChristianityO IslamO Atheist/Agnostic/NoneO HinduismO Buddhism O Judaism O Other ______________________

9. O Employed by others (State field ________________ )O Self employed (State field ________________ )O UnemployedO StudentO Retired (State field of previous job ________________ )O Unable to workIf unemployed, are you actively searching for a job? O YesO No

10. Self-reported social classO UpperO MiddleO LowerO OtherO Refuse to say

11. Party identificationO RepublicanO DemocratO IndependentO Other ________________

12. Is your political identity similar to your parents’ or caregivers’?O YesO NoO Don’t Know

13. If married or in a relationship, is your political identity similar to your partner’s?O YesO NoO Don’t Know

14. Do you watch, listen, or read about politics in the media? If yes, choose the sources from which you gather information and circle your primary source.O RadioO TVO NewspapersO MagazinesO Friends O Internet O Other _____________

15. Have you ever worked in a campaign?O YesO No

16. Have you ever donated money to a candidate?O YesO No

17. Have you ever worn a button, displayed a bumper sticker or yard sign, or any other physical support for a candidate?O YesO No

18. Did you vote in the last Presidential election? O YesO NoIf yes, how confident were you in your choice? O VeryO MostlyO SomewhatO Not muchO Not at allIf no, why (e.g. not old enough, busy at work)? _______________________________

19. Did you vote in the last local election (city or school board)?O YesO NoIf yes, how confident were you in your choice? O VeryO MostlyO SomewhatO Not muchO Not at allIf no, why (e.g. not old enough, busy at work)? _______________________________