Plate to Politics Survey

Contact Information

First Name

Last Name

Job Title

Birth Date

Street Address

City

Postal Code

Country

United States

Canada

United Kingdom

State/Province

Aberdeen CityAberdeenshireAlabamaAlaskaAlbertaAmerican SamoaAngusAntrim and NewtownabbeyArds and North DownArgyll and ButeArizonaArkansasArmagh City, Banbridge and CraigavonArmed Forces AmericasArmed Forces EuropeArmed Forces PacificBedfordshireBelfastBerkshireBlaenau GwentBridgendBristol, City ofBritish ColumbiaBuckinghamshireCaerphillyCaliforniaCambridgeshireCardiffCarmarthenshireCauseway Coast and GlensCeredigionCheshireClackmannanshireClwydCo AntrimCo ArmaghCo DownCo FermanaghCo LondonderryCo TyroneColoradoConnecticutConwyCornwallCounty DurhamCumbriaDelawareDenbighshireDerbyshireDerry City and StrabaneDevonDistrict of ColumbiaDorsetDumfries and GallowayDundee CityDyfedEast AyrshireEast DunbartonshireEast LothianEast RenfrewshireEast Riding of YorkshireEast SussexEdinburgh, City ofEssexFalkirkFermanagh and OmaghFifeFlintshireFloridaGeorgiaGlasgow CityGloucestershireGreater ManchesterGuamGwentGwyneddHampshireHawaiiHerefordshireHertfordshireHighlandIdahoIllinoisIndianaInverclydeIowaIsle of AngleseyIsle of WightKansasKentKentuckyLancashireLeicestershireLincolnshireLisburn and CastlereaghLondonLouisianaMaineManitobaMarylandMassachusettsMerseysideMerthyr TydfilMichiganMid and East AntrimMid GlamorganMid UlsterMidlothianMinnesotaMississippiMissouriMonmouthshireMontanaMorayNa h-Eileanan SiarNeath Port TalbotNebraskaNevadaNew BrunswickNew HampshireNew JerseyNew MexicoNew YorkNewfoundland and LabradorNewportNewry, Mourne and DownNorfolkNorth AyrshireNorth CarolinaNorth DakotaNorth LanarkshireNorth YorkshireNorthamptonshireNorthern Mariana IslandsNorthumberlandNorthwest TerritoriesNottinghamshireNova ScotiaNunavutOhioOklahomaOldhamOmaghOntarioOregonOrkney IslandsOxfordshirePembrokeshirePennsylvaniaPerth and KinrossPowysPrince Edward IslandPuerto RicoQuebecRenfrewshireRhode IslandRhondda, Cynon, TaffRutlandSaskatchewanScottish BordersShetland IslandsShropshireSomersetSouth AyrshireSouth CarolinaSouth DakotaSouth GlamorganSouth GloucestershireSouth LanarkshireSouth YorkshireStaffordshireStirlingSuffolkSurreySwanseaTennesseeTexasTorfaenTyne and WearUnited States Minor Outlying IslandsUtahVale of Glamorgan, TheVermontVirgin IslandsVirginiaWarwickshireWashingtonWest DunbartonshireWest GlamorganWest LothianWest MidlandsWest SussexWest VirginiaWest YorkshireWiltshireWisconsinWorcestershireWrexhamWyomingYukon Territory

District/County

Phone Number

Email

I am a military veteran.

Yes

No

Yes, I would like to receive WFAN News via email.

Yes

No

Yes, I would like to receive Plate to Politics emails.

Yes

No

Survey Questions

How would you describe the area in which you live?

Rural

Suburban

Metro/Urban

Are you interested in attending an in-person training to expand your leadership skills and networks?

Yes

No

What formats help you learn?

In-person workshop

Webinars

Group video chat

eBook

Other (please describe)

What policies do you care about?

Please describe policy changes you would like to see that impact sustainable agriculture and organic food policies in the US.

What do you need to help advance your leadership on these issues?

How can we help you?

Are you interested in helping identify and/or support women candidates who are sustainable agriculture and organic food champions?

Yes

No

What is your current involvement?

What are the biggest factors you must weigh before deciding to run for office?

Income, changing careers or working and serving

Determining care for children, households, aging parents, etc.

Afraid of raising money

Fitting it into an already busy life

Figuring out what issues to tackle in a campaign

Deciding what office to run for

* What scares you most about running for political office?

Losing the campaign

Fundraising, campaigning, public speaking

Family and friends will be subject to scrutiny

Things in my past will be brought up

The confrontation with others

My qualifications being questioned

Managing it all (farm, work, family, public service)

Are you currently...

Holding public office or position of influence (i.e. boards and commissions)

Considering running for appointed or elective office

Planning to run for office

Other

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