Voter Registration and Civic Participation Survey

Voter Registration and Civic Participation Survey — Form Fields

This surveys template includes 7 fields. Survey citizens on voter registration status, participation barriers, and civic engagement. Free to customize and use on ZenBuild.

• Age Range (dropdown selection, required) — options: 18-24, 25-34, 35-44, 45-54, 55-64, 65+
• Currently Registered to Vote? (multiple choice, required) — options: Yes, No, Unsure
• Primary Reason If Not Registered (dropdown selection, optional) — options: Just Haven't Done It, Don't Know How, Changed Address, Distrust in System, Not Eligible, N/A
• Barriers to Voting (checkboxes, optional) — options: Work Schedule, Transportation, Long Lines, ID Requirements, Registration Deadline, Language Barrier
• Did You Vote in the Last Election? (multiple choice, required) — options: Yes, No, Was Not Eligible
• Do You Feel Your Vote Makes a Difference? (multiple choice, required) — options: Yes, Sometimes, No
• Suggestions to Improve Voting Access (long text, optional)