1. Abortion is legal in the United States.  It is a personal decision that women can legally make without government interference.  Are you in favor of keeping the law as it is now, or do you favor changing the law so that abortion would be illegal?
Strongly keep   Keep   Don't Know  Change   Strongly Change

2. Before you vote for a candidate for office, do you usually consider the candidate's position on legal abortion?
Yes  No  Don't Know

3. If a candidate of your political party does not share your views on abortion, would you cross party lines and vote for a candidate of another party in order to vote for someone who does hold your views on abortion?
Yes  No  Don't Know

4. Are there any men of voting age in your household who share your views of abortion?
Yes  How many?   No   Maybe

5. If you answered "change" or "strongly change" to Question #1, are there any conditions under which you believe abortion should be a legal choice?

We would greatly appreciate also having the following information from survey respondents.  However, you can return the survey without answering these questions.

6. Race: 
African American
Alaska Native
American Indian
Asian-American
Pacific Islander
Caucasian
Filipino
Hispanic
Other: 

7. Religion: 
Catholic
Jewish
Mormon
Non-Denominational
Protestant
Russian Orthodox
Other: 

8. Employment Status: 
Full-time
Part-time
Homemaker
Self-Employed
Student
Unemployed
Other:

9. Household Income:
$0 -15,000
$16,000-30,000
$31,000-45,000
$46,000-75,000
$76,000-100,000
$100,000+

10. Age Group:
18-24
25-34
35-44
45-54
55-64
65-74
75 + 

11. Marital Status:
Divorced
Married
Separated
Single
Partnership
Widowed

12. Do you have children?
Yes  How many?   Ages? 
No

13. Education:
High School Graduate
Some College
College Graduate
Graduate School
Other 

14. Political Party:
Democrat
Green
Non-Partisan
Republican
Other 

Thank you for taking the time to fill out the questionnaire.
This form will be submitted via email -- please only hit the "Submit" button once!