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https://act.passmedicareforall.org/survey/Climate-Mask-Survey?source=MS_EM_POLL_2023.06.11_B1_Climate-Mask-Survey-Climate_X__F1_S1_...
Submission: On June 11 via api from US — Scanned from DE
Submission: On June 11 via api from US — Scanned from DE
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Name: act — POST /act/
<form class="ak-form" name="act" method="POST" action="/act/" accept-charset="utf-8" style="display: block;">
<input type="hidden" name="page" value="Climate-Mask-Survey">
<div class="ak-grid-row">
<div class="ak-grid-col ak-grid-col-12-of-12">
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<center>
<h1><span style="color: #000000; background-color: #ffe599;">Mask Survey Below</span></h1>
<h4>Amid the current climate crisis, millions in the United States are under air quality alerts. Please respond to the following polling in regards to our current situation:</h4>
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<div class="ak-grid-row ms-big-image-container">
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<div id="ak-survey-questions" class="ak-grid-col ak-grid-col-12-of-12" style="margin-left: 0;">
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<div class="ak-err-below">
<label class="ak-survey-question-label" style="border-top: none;"> CONFIRM: Have you worn a mask in the past 7 days? </label>
<div class="radio-item ak-survey-radio-set ak-input-set"><label class="ak-survey-radio-choice"><input type="radio" class="ak-survey-input" name="action_CONFIRM: Do you recycle?" id="id_action_CONFIRM: Do you recycle?_yes" value="Yes">
Yes</label> <label class="ak-survey-radio-choice"><input type="radio" class="ak-survey-input" name="action_CONFIRM: Do you recycle?" id="id_action_CONFIRM: Do you recycle?_no" value="No"> No</label> <label
class="ak-survey-radio-choice"><input type="radio" class="ak-survey-input" name="action_CONFIRM: Do you recycle?" id="id_action_CONFIRM: Do you recycle?_sometimes" value="Sometimes"> Sometimes</label> <label
class="ak-survey-radio-choice"><input type="radio" class="ak-survey-input" name="action_CONFIRM: Do you recycle?" id="id_action_CONFIRM: Do you recycle?_prefer_not_to_say" value="Prefer not to say"> Prefer not to say</label> </div>
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<div class="ak-err-below">
<label class="ak-survey-question-label"> Climate change is rapidly changing the face of our planet. <br><br> How concerned are you about climate change? </label>
<div class="radio-item ak-survey-radio-set ak-input-set"><label class="ak-survey-radio-choice"><input type="radio" class="ak-survey-input"
name="action_Climate change is rapidly changing the face of our planet. How concerned are you about climate change?"
id="id_action_Climate change is rapidly changing the face of our planet. How concerned are you about climate change?_very_concerned" value="Very concerned"> Very concerned</label> <label class="ak-survey-radio-choice"><input
type="radio" class="ak-survey-input" name="action_Climate change is rapidly changing the face of our planet. How concerned are you about climate change?"
id="id_action_Climate change is rapidly changing the face of our planet. How concerned are you about climate change?_somewhat_concerned" value="Somewhat concerned"> Somewhat concerned</label> <label
class="ak-survey-radio-choice"><input type="radio" class="ak-survey-input" name="action_Climate change is rapidly changing the face of our planet. How concerned are you about climate change?"
id="id_action_Climate change is rapidly changing the face of our planet. How concerned are you about climate change?_a_little_concerned" value="A little concerned"> A little concerned</label> <label
class="ak-survey-radio-choice"><input type="radio" class="ak-survey-input" name="action_Climate change is rapidly changing the face of our planet. How concerned are you about climate change?"
id="id_action_Climate change is rapidly changing the face of our planet. How concerned are you about climate change?_not_concerned" value="Not concerned"> Not concerned</label> </div>
</div>
<div class="ak-err-below">
<label class="ak-survey-question-label"> Which of the following aspects of climate change are you worried about? </label>
<div class="checkbox-item ak-survey-checkbox-set ak-input-set"><label class="ak-survey-checkbox-choice"><input type="checkbox" class="ak-survey-input" name="action_Which of the following aspects of climate change are you worried about?"
id="id_action_Which of the following aspects of climate change are you worried about?_summer_temperatures_getting_hotter" value="Summer temperatures getting hotter"> Summer temperatures getting hotter</label> <label
class="ak-survey-checkbox-choice"><input type="checkbox" class="ak-survey-input" name="action_Which of the following aspects of climate change are you worried about?"
id="id_action_Which of the following aspects of climate change are you worried about?_sea_levels_rising" value="Sea levels rising"> Sea levels rising</label> <label class="ak-survey-checkbox-choice"><input type="checkbox"
class="ak-survey-input" name="action_Which of the following aspects of climate change are you worried about?" id="id_action_Which of the following aspects of climate change are you worried about?_beloved_animals_going_extinct"
value="Beloved animals going extinct"> Beloved animals going extinct</label> <label class="ak-survey-checkbox-choice"><input type="checkbox" class="ak-survey-input"
name="action_Which of the following aspects of climate change are you worried about?" id="id_action_Which of the following aspects of climate change are you worried about?_more_extreme_weather_events"
value="More extreme weather events"> More extreme weather events</label> <label class="ak-survey-checkbox-choice"><input type="checkbox" class="ak-survey-input"
name="action_Which of the following aspects of climate change are you worried about?" id="id_action_Which of the following aspects of climate change are you worried about?_all_the_above" value="ALL THE ABOVE"> ALL THE ABOVE</label>
</div>
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<div class="ak-err-below">
<label class="ak-survey-question-label"> How would you grade the Biden Administration’s environmental policy? </label>
<div class="radio-item ak-survey-radio-set ak-input-set"><label class="ak-survey-radio-choice"><input type="radio" class="ak-survey-input" name="action_How would you grade the Biden Administration’s environmental policy?"
id="id_action_How would you grade the Biden Administration’s environmental policy?_a_amazing" value="A. Amazing"> A. Amazing</label> <label class="ak-survey-radio-choice"><input type="radio" class="ak-survey-input"
name="action_How would you grade the Biden Administration’s environmental policy?" id="id_action_How would you grade the Biden Administration’s environmental policy?_b_good" value="B. Good"> B. Good</label> <label
class="ak-survey-radio-choice"><input type="radio" class="ak-survey-input" name="action_How would you grade the Biden Administration’s environmental policy?"
id="id_action_How would you grade the Biden Administration’s environmental policy?_c_average" value="C. Average"> C. Average</label> <label class="ak-survey-radio-choice"><input type="radio" class="ak-survey-input"
name="action_How would you grade the Biden Administration’s environmental policy?" id="id_action_How would you grade the Biden Administration’s environmental policy?_d_bad" value="D. Bad"> D. Bad</label> <label
class="ak-survey-radio-choice"><input type="radio" class="ak-survey-input" name="action_How would you grade the Biden Administration’s environmental policy?"
id="id_action_How would you grade the Biden Administration’s environmental policy?_f_terrible" value="F. Terrible"> F. Terrible</label> <label class="ak-survey-radio-choice"><input type="radio" class="ak-survey-input"
name="action_How would you grade the Biden Administration’s environmental policy?" id="id_action_How would you grade the Biden Administration’s environmental policy?_unsure" value="Unsure"> Unsure</label> </div>
</div>
<div class="ak-err-below">
<label class="ak-survey-question-label"> Which of the following environmental priorities would you like to see the Biden Administration focus on? (select all that apply) </label>
<div class="checkbox-item ak-survey-checkbox-set ak-input-set"><label class="ak-survey-checkbox-choice"><input type="checkbox" class="ak-survey-input"
name="action_Which of the following environmental priorities would you like to see the Biden Administration focus on? (select all that apply)"
id="id_action_Which of the following environmental priorities would you like to see the Biden Administration focus on? (select all that apply)_protecting_public_lands" value="Protecting public lands"> Protecting public lands</label>
<label class="ak-survey-checkbox-choice"><input type="checkbox" class="ak-survey-input" name="action_Which of the following environmental priorities would you like to see the Biden Administration focus on? (select all that apply)"
id="id_action_Which of the following environmental priorities would you like to see the Biden Administration focus on? (select all that apply)_ending_fossil_fuel_subsidies" value="Ending fossil fuel subsidies"> Ending fossil fuel
subsidies</label> <label class="ak-survey-checkbox-choice"><input type="checkbox" class="ak-survey-input"
name="action_Which of the following environmental priorities would you like to see the Biden Administration focus on? (select all that apply)"
id="id_action_Which of the following environmental priorities would you like to see the Biden Administration focus on? (select all that apply)_passing_legislation_to_reduce_emissions" value="Passing legislation to reduce emissions">
Passing legislation to reduce emissions</label> <label class="ak-survey-checkbox-choice"><input type="checkbox" class="ak-survey-input"
name="action_Which of the following environmental priorities would you like to see the Biden Administration focus on? (select all that apply)"
id="id_action_Which of the following environmental priorities would you like to see the Biden Administration focus on? (select all that apply)_banning_offshore_drilling" value="Banning offshore drilling"> Banning offshore
drilling</label> <label class="ak-survey-checkbox-choice"><input type="checkbox" class="ak-survey-input"
name="action_Which of the following environmental priorities would you like to see the Biden Administration focus on? (select all that apply)"
id="id_action_Which of the following environmental priorities would you like to see the Biden Administration focus on? (select all that apply)_electrifying_public_transit" value="Electrifying public transit"> Electrifying public
transit</label> <label class="ak-survey-checkbox-choice"><input type="checkbox" class="ak-survey-input"
name="action_Which of the following environmental priorities would you like to see the Biden Administration focus on? (select all that apply)"
id="id_action_Which of the following environmental priorities would you like to see the Biden Administration focus on? (select all that apply)_stopping_pipeline_projects" value="Stopping pipeline projects"> Stopping pipeline
projects</label> <label class="ak-survey-checkbox-choice"><input type="checkbox" class="ak-survey-input"
name="action_Which of the following environmental priorities would you like to see the Biden Administration focus on? (select all that apply)"
id="id_action_Which of the following environmental priorities would you like to see the Biden Administration focus on? (select all that apply)_reducing_reliance_on_fracking" value="Reducing reliance on fracking"> Reducing reliance on
fracking</label> <label class="ak-survey-checkbox-choice"><input type="checkbox" class="ak-survey-input"
name="action_Which of the following environmental priorities would you like to see the Biden Administration focus on? (select all that apply)"
id="id_action_Which of the following environmental priorities would you like to see the Biden Administration focus on? (select all that apply)_investing_in_renewable_energy_like_wind_and_solar"
value="Investing in renewable energy like wind and solar"> Investing in renewable energy like wind and solar</label> <label class="ak-survey-checkbox-choice"><input type="checkbox" class="ak-survey-input"
name="action_Which of the following environmental priorities would you like to see the Biden Administration focus on? (select all that apply)"
id="id_action_Which of the following environmental priorities would you like to see the Biden Administration focus on? (select all that apply)_subsidizing_electric_cars" value="Subsidizing electric cars"> Subsidizing electric
cars</label> <label class="ak-survey-checkbox-choice"><input type="checkbox" class="ak-survey-input"
name="action_Which of the following environmental priorities would you like to see the Biden Administration focus on? (select all that apply)"
id="id_action_Which of the following environmental priorities would you like to see the Biden Administration focus on? (select all that apply)_all_of_the_above" value="All of the above"> All of the above</label> <label
class="ak-survey-checkbox-choice"><input type="checkbox" class="ak-survey-input" name="action_Which of the following environmental priorities would you like to see the Biden Administration focus on? (select all that apply)"
id="id_action_Which of the following environmental priorities would you like to see the Biden Administration focus on? (select all that apply)_other" value="Other"> Other</label> </div>
</div>
<div class="ak-err-below">
<label class="ak-survey-question-label"> Do you feel that your representatives are doing enough to fight for the environment? </label>
<div class="radio-item ak-survey-radio-set ak-input-set"><label class="ak-survey-radio-choice"><input type="radio" class="ak-survey-input" name="action_Do you feel that your representatives are doing enough to fight for the environment?"
id="id_action_Do you feel that your representatives are doing enough to fight for the environment?_yes" value="Yes"> Yes</label> <label class="ak-survey-radio-choice"><input type="radio" class="ak-survey-input"
name="action_Do you feel that your representatives are doing enough to fight for the environment?" id="id_action_Do you feel that your representatives are doing enough to fight for the environment?_no" value="No"> No</label> <label
class="ak-survey-radio-choice"><input type="radio" class="ak-survey-input" name="action_Do you feel that your representatives are doing enough to fight for the environment?"
id="id_action_Do you feel that your representatives are doing enough to fight for the environment?_unsure" value="Unsure"> Unsure</label> </div>
</div>
<div class="ak-err-below">
<label class="ak-survey-question-label"> Does it concern you that Republicans like Mitch McConnell and Marjorie Taylor Greene have repeatedly denied the existence of a climate crisis and its effects on public health? </label>
<div class="radio-item ak-survey-radio-set ak-input-set"><label class="ak-survey-radio-choice"><input type="radio" class="ak-survey-input"
name="action_Does it concern you that Republicans like Mitch McConnell and Marjorie Taylor Greene have repeatedly denied the existence of a climate crisis and its effects on public health?"
id="id_action_Does it concern you that Republicans like Mitch McConnell and Marjorie Taylor Greene have repeatedly denied the existence of a climate crisis and its effects on public health?_yes_it_concerns_me"
value="Yes it concerns me"> Yes it concerns me</label> <label class="ak-survey-radio-choice"><input type="radio" class="ak-survey-input"
name="action_Does it concern you that Republicans like Mitch McConnell and Marjorie Taylor Greene have repeatedly denied the existence of a climate crisis and its effects on public health?"
id="id_action_Does it concern you that Republicans like Mitch McConnell and Marjorie Taylor Greene have repeatedly denied the existence of a climate crisis and its effects on public health?_no_it_doesn_t" value="No it doesn’t"> No it
doesn’t</label> </div>
</div>
<div class="ak-err-below">
<label class="ak-survey-question-label"> If you said yes to the question above, would you be willing to chip in just $9.45 (our average donation this year) TODAY to elect Progressives committed to fighting the climate crisis? </label>
<div class="checkbox-item ak-survey-checkbox-set ak-input-set"><label class="ak-survey-checkbox-choice"><input type="checkbox" class="ak-survey-input"
name="action_If you said yes to the question above, would you be willing to make a small sacrifice TODAY to elect Progressives committed to fighting the climate crisis?"
id="id_action_If you said yes to the question above, would you be willing to make a small sacrifice TODAY to elect Progressives committed to fighting the climate crisis?_yes_" value="Yes!"> Yes!</label> </div>
</div>
<div class="ak-err-below">
<label class="ak-survey-question-label"> We only have one planet -- so we must protect it and those who live on it. That's why electing Progressive champions who will fight for a Green New Deal and Medicare For All. <br><br> But it won't be
easy. Big Oil, fossil fuel executives, and Big Pharma are spending millions to defeat our Progressives and maintain their grip on our government. <br><br> So we're asking every committed Progressive who completes this poll to attach a
small donation on the next page. Every cent raised will be used to fund our nationwide effort to elect Progressives from coast to coast! Can you chip in just $9.45 (our average donation) right away? </label>
<div class="checkbox-item ak-survey-checkbox-set ak-input-set"><label class="ak-survey-checkbox-choice"><input type="checkbox" class="ak-survey-input"
name="action_We only have one planet -- so we must protect it and those who live on it. That's why electing Progressive champions who will fight for a Green New Deal and Medicare For All. <br><br> But it won't be easy. Big Oil, fossil fuel executives, and Big Pharma a"
id="id_action_We only have one planet -- so we must protect it and those who live on it. That's why electing Progressive champions who will fight for a Green New Deal and Medicare For All. <br><br> But it won't be easy. Big Oil, fossil fuel executives, and Big Pharma a_yes_i_ll_chip_in_9_45_average_donation_"
value="Yes! I'll chip in $9.45 >> [AVERAGE DONATION]"> Yes! I'll chip in $9.45 >> [AVERAGE DONATION]</label> <label class="ak-survey-checkbox-choice"><input type="checkbox" class="ak-survey-input"
name="action_We only have one planet -- so we must protect it and those who live on it. That's why electing Progressive champions who will fight for a Green New Deal and Medicare For All. <br><br> But it won't be easy. Big Oil, fossil fuel executives, and Big Pharma a"
id="id_action_We only have one planet -- so we must protect it and those who live on it. That's why electing Progressive champions who will fight for a Green New Deal and Medicare For All. <br><br> But it won't be easy. Big Oil, fossil fuel executives, and Big Pharma a_yes_i_ll_chip_in_15_"
value="Yes! I'll chip in $15 >>"> Yes! I'll chip in $15 >></label> <label class="ak-survey-checkbox-choice"><input type="checkbox" class="ak-survey-input"
name="action_We only have one planet -- so we must protect it and those who live on it. That's why electing Progressive champions who will fight for a Green New Deal and Medicare For All. <br><br> But it won't be easy. Big Oil, fossil fuel executives, and Big Pharma a"
id="id_action_We only have one planet -- so we must protect it and those who live on it. That's why electing Progressive champions who will fight for a Green New Deal and Medicare For All. <br><br> But it won't be easy. Big Oil, fossil fuel executives, and Big Pharma a_yes_i_ll_chip_in_35_greatest_impact_"
value="Yes! I'll chip in $35 >> [GREATEST IMPACT]"> Yes! I'll chip in $35 >> [GREATEST IMPACT]</label> <label class="ak-survey-checkbox-choice"><input type="checkbox" class="ak-survey-input"
name="action_We only have one planet -- so we must protect it and those who live on it. That's why electing Progressive champions who will fight for a Green New Deal and Medicare For All. <br><br> But it won't be easy. Big Oil, fossil fuel executives, and Big Pharma a"
id="id_action_We only have one planet -- so we must protect it and those who live on it. That's why electing Progressive champions who will fight for a Green New Deal and Medicare For All. <br><br> But it won't be easy. Big Oil, fossil fuel executives, and Big Pharma a_yes_i_ll_chip_in_another_amount_"
value="Yes! I'll chip in another amount >>"> Yes! I'll chip in another amount >></label> </div>
</div>
<div id="survey-contact" class="ak-styled-fields ak-labels-above ak-errs-below">
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value="https://act.passmedicareforall.org/survey/Climate-Mask-Survey?source=MS_EM_POLL_2023.06.11_B1_Climate-Mask-Survey-Climate_X__F1_S1_C1__main-exp_RS&amp;t=7&amp;akid=33056*2E407660*2EKyojQq"><input type="hidden" name="js" value="1">
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MEDICARE FOR ALL MASK SURVEY BELOW AMID THE CURRENT CLIMATE CRISIS, MILLIONS IN THE UNITED STATES ARE UNDER AIR QUALITY ALERTS. PLEASE RESPOND TO THE FOLLOWING POLLING IN REGARDS TO OUR CURRENT SITUATION: -------------------------------------------------------------------------------- CONFIRM: Have you worn a mask in the past 7 days? Yes No Sometimes Prefer not to say Climate change is rapidly changing the face of our planet. How concerned are you about climate change? Very concerned Somewhat concerned A little concerned Not concerned Which of the following aspects of climate change are you worried about? Summer temperatures getting hotter Sea levels rising Beloved animals going extinct More extreme weather events ALL THE ABOVE How would you grade the Biden Administration’s environmental policy? A. Amazing B. Good C. Average D. Bad F. Terrible Unsure Which of the following environmental priorities would you like to see the Biden Administration focus on? (select all that apply) Protecting public lands Ending fossil fuel subsidies Passing legislation to reduce emissions Banning offshore drilling Electrifying public transit Stopping pipeline projects Reducing reliance on fracking Investing in renewable energy like wind and solar Subsidizing electric cars All of the above Other Do you feel that your representatives are doing enough to fight for the environment? Yes No Unsure Does it concern you that Republicans like Mitch McConnell and Marjorie Taylor Greene have repeatedly denied the existence of a climate crisis and its effects on public health? Yes it concerns me No it doesn’t If you said yes to the question above, would you be willing to chip in just $9.45 (our average donation this year) TODAY to elect Progressives committed to fighting the climate crisis? Yes! We only have one planet -- so we must protect it and those who live on it. That's why electing Progressive champions who will fight for a Green New Deal and Medicare For All. But it won't be easy. Big Oil, fossil fuel executives, and Big Pharma are spending millions to defeat our Progressives and maintain their grip on our government. So we're asking every committed Progressive who completes this poll to attach a small donation on the next page. Every cent raised will be used to fund our nationwide effort to elect Progressives from coast to coast! Can you chip in just $9.45 (our average donation) right away? Yes! I'll chip in $9.45 >> [AVERAGE DONATION] Yes! I'll chip in $15 >> Yes! I'll chip in $35 >> [GREATEST IMPACT] Yes! I'll chip in another amount >> Not ? Click here. Email address* SUBMIT THEN DONATE → Donate to Medicare For All ➡︎ PAID FOR BY MEDICARE FOR ALL. NOT AUTHORIZED BY ANY CANDIDATE OR CANDIDATE COMMITTEE. Privacy Policy Contact