Please mark your response to the following questions.

YES

NO

1.      Were all candidates, candidates’ workers, and literature about candidates at least 10 feet from voting machines and the table at which you signed in to vote?

2.      Was the polling place an area in a single room in full view of the election officials (judge of elections, majority inspector, minority inspector machine inspectors)?

3.      Were the voting devices and booths facing the election officials?

4.      Was a sample ballot posted in clear view?

5.      Was a list of people who cast absentee ballots posted in clear view?

6.      Were cards of instructions posted in clear view?

7.      If you needed assistance in voting, was it stated on your registration card?

No assistance needed.

8.      Were you asked for your registration card, or some form of identification?

9.      Was anyone except authorized election officials, inspectors, overseers, watchers, or voters in the polling place?

10.  Was any gift, threat, or promise made which might affect a person’s vote?

11.  Was a demonstration model of the voting machine or electronic voting system, if used, available for instruction?

Devices not used.

12.  If paper ballot or electronic voting devise was used, did the election official check the ballot number and see that the stub was removed before the ballot was cast?

Devices not used.

13.  Were you prevented from voting in private?

14.  Were your questions about the process of voting answered by the election officials?

I had no questions.

15.  Was the polling place accessible for people on crutches or in wheel chairs (accessible parking, ramps where there were steps, doorways wide enough for wheel chair)?

16.  Would the polling place be easy to locate for a new person in town?

Please return this survey to:

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