Congressman Dennis Cardoza

Seal of the U.S. House of Representatives

Polls such as the one below have proven invaluable in discussing the many challenges my constituents face. Please take a moment to complete this information. By submitting your answer, you will also receive electronic newsletters from my office about my efforts on your behalf.

*Required information

*First Name

*Last Name

*Address:

*City:

State:

*Zip: -

Phone:

*E-Mail:

* 1- In general, how much have you been affected by the economic downturn?

* 2- How much do you believe the economy has improved in the last six months?

3- I would like to know briefly how the economy is affecting you. Please select one answer from the following:

*A- Compared to a year ago, how much money are you putting in savings?

*B- Compared to a year ago, how frequently are you using a credit card?

*C- Compared to a year ago, how much are you spending on groceries?

*D- Compared to a year ago, how much are you spending on health care?

* 4- What concerns you most with the discussion over health care reform?

* 5- In the last 12 months have you had difficulty scheduling an appointment with your doctor?

* 6- In the last 12 months have you had difficulty with a health insurance claim?

* 7- Do you feel you are paying a fair amount for your current health insurance?

* 8- Do you feel your current insurance coverage is sufficient to meet your medical needs?

* 9- My top three concerns are: (Pick three)

Preventing crime in my community
Health care costs and reform
Federal spending and the deficit
The economy
War in Iraq and Afghanistan
Terrorism
Education costs
Jobs
Employment opportunities
Climate change and energy issues
Taxes

* 10- Information I would be most interested in from my Congressman: (Please select all that apply)

News on the economy
News on federal spending
News on health care
Dairy issues
Agricultural issues
News on Social Security
Information on the foreclosure crisis
Updates on efforts to combat the drought

Representative Dennis Cardoza
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