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Budget survey

Please help me fight for our area by filling in this survey about how the Budget is going to affect you.

Full Name (required)

Address (required)

Telephone

Mobile

Your Email (required)

What is worrying you most?

 Lack of jobs Rising prices of food and household goods Fuel prices

Do you think your family will be better off or worse off after Wednesday's Budget?

 Better off Worse off No change

Do you think the Government should do more to grow the economy and create more jobs?

 Yes No Not sure

Do you have any other comments?

How would you rate my work as your MP? (1 being poor 5 being excellent)
 1 2 3 4 5

Can you help deliver parliamentary leaflets for me down your road?
 Yes No Maybe