Unify America Challenge |

What is your first name?

What is your last name?

What is your email address?

I would like to receive email newsletters from Unify America.

What's your gender?

Male

Female

Nonbinary

I'd rather not say

Describe yourself

How would you most likely describe yourself?

Conservative

Somewhat Conservative

Libertarian

Moderate or Centrist

Somewhat Liberal

Liberal

Socialist

How do you tend to vote?
(For those who haven't voted or are unable to vote, how might you vote?)

I always vote for Republicans

I always vote for Democrats

I mostly vote for Republicans

I mostly vote for Democrats

I'm independent and vote across party lines

I mostly vote for third-party candidates

How did you hear about the Unify Challenge?

What is your zip code?

Which of these best describes where you live?

City or urban area

Suburb

Rural area

What month and year were you born?

Which racial or ethnic group(s) best describe you? (Choose all that apply.)

White

Hispanic or Latino

Black or African-American

Asian

Native American or Alaska Native

Native Hawaiian or other Pacific Islander

I'd rather not say

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