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Immigration Survey

Your feedback is important to me. Please let me know your views on this important matter.

Name: 
Prefix First Name MI Last Name Suffix (Jr., Sr.)
  
Address: 
  
City: 
State: Zip:
Email: 
Phone:

Rank of Education in importance (1 is the highest).

1   2   3   4   5  

Rank of Energy Independence in importance (1 is the highest).

1   2   3   4   5  

Rank of Health Care in importance (1 is the highest).

1   2   3   4   5  

Rank of Immigration in importance (1 is the highest).

1   2   3   4   5  

Rank of Iraq in importance (1 is the highest).

1   2   3   4   5  

Rank of Jobs/Economy in importance (1 is the highest).

1   2   3   4   5  

Rank of Protecting our Environment in importance (1 is the highest).

1   2   3   4   5  

Is there another issue you think should be addressed?

Do you support enforcing the laws that penalize employers who hire illegal immigrants?

 Yes

 No

Do you support a temporary worker program that allows immigrants to work in the U.S. and offers them an opportunity to apply for citizenship after meeting certain requirements?

 Yes

 No

Do you support a temporary worker program that allows immigrants to work in the U.S. and then requires them to return to their home country?

 Yes

 No

Do you support increasing the number of border agents and improving technology to keep illegal immigrants from entering the U.S?

 Yes

 No

Do you support giving local law enforcement the power to arrest and deport illegal immigrants for trespassing?

 Yes

 No

Do you support building a fence along the Mexican border?

 Yes

 No

Do you support permanent border checkpoints in Southern Arizona?

 Yes

 No

Do you feel the affects of illegal immigration in your daily life?

 Yes

 No

If you answered yes to the previous question, please explain

Additional Comments