Voter Interview Sheet

    Name ______________________________

    Address_____________________________

    Email address ________________________________________

    Precinct ________ Phone _____________ Party ________



    1. Do you plan on participating in the Feb. 9, Nebraska Democratic Presidential Caucus?
       Y         N         U

    2. Do you need more information about the Caucus? Y     N

    3. What issues are you concerned about?




    4. Do you need more information about the Candidates? Y     N
        (Brief description)




    (Ask 5 & 6 only if interviewee has been receptive )
    5. Would you be willing to participate in Sioux County Democratic activities?
    ( Canvassing, phone banking, distribution of signs and literature, precinct coordinator,
    attend meetings, etc.)


    6. Would you be willing to be a Neighborhood Leader for the Democratic Party? Y N

    7. Other Observations.