A Pop Survey Voter Evaluation
of Government Program Performance.

Everyone is invited to participate in this Public Service Scorecard
You can also print this survey and mail your opinions to your mayor,
city councilors, community, provincial, state, national & world leaders.
For statistical purposes, don't do this survey more than once a month.



A.   GOVERNMENT PERFORMANCE EVALUATION

Public Services can be evaluated with a score from 1 to 10
(1 is poor performance. 5 is average. 10 is a perfect score.)

Rate Government Performance from 1-10 for each of these public service areas

1.  Community, Local Government
2. Provincial, State Government
3.  National, Federal Government
4.  Social Development Programs
5.  Schools, Colleges & Education
6.  Health, Welfare & Pensions
7.  Economic Management Policies
8.  Housing, Transit, Transportation
9.  Environment, Energy & Resources
10.  Justice, Public Safety, World Peace

 

Your Evaluation of Government is a Percentage Score = ____%
(10 services x 10 points adds up to a Performance Score of 100%)
You can see your Public Service Score by completing this survey.



B.   GOVERNMENT BUDGET PRIORITIES

Should the following Government Budgets be  A,  B,  C  or  D?
( A=Increase Budgets.  B=Maintain Budgets.  C=Cut Budgets.  D=Undecided. )

Indicate Your Vote on any line by checking one of A, B, C or D.

11.   Should National Government Budgets be    A    B    C    D

12.   Should International Agency Budgets be    A    B    C    D

13.   Should Provincial and State Budgets be    A    B    C    D

14.   Should Community Government Budgets be    A    B    C    D

D.  VOTER PROFILE For complete statistical profiles check all items relating to you male   female child (-10)   teens (10+)   twenties thirties   forties   fifties   seniors single    married   parent   divorced student   employed   unemployed   retired   income (approx)  -$12,000   $12-24,000    $25-50,000     $50-99,000   $100,000+   $Millionaire  $Multimillionaire  $Billionaire

Please provide contact information (optional)

First Name
Last Name
Email Address
Phone Number
Country
Comments

www.communitycommonwealth.info
info@communitycommonwealth.info

go to the top