Survey Form

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Alaska First Survey

This form requires the Gravity Forms Survey Add-On. Important: Delete this tip before you publish the form.
Name
Which three issues most directly affect you and/or your family?(Required)
Are you satisfied with the current job and economic opportunities provided in Alaska? On a scale, 1 being very dissatisfied and 5 being very satisfied.(Required)

Do you think our State is headed in the right direction?

On a scale, 1 being very dissatisfied and 5 being very satisfied, rate the following.
Alaska's healthcare(Required)
Alaska's in-state transportation(Required)
Alaska's post-secondary education opportunities(Required)
Alaska's job and economic opportunity(Required)