1. Voting Never Only Presidential elections Only State wide elections You are currently registered to vote. Written letter to the editor Have participated in political blog. Have written an official Always Jury Duty Writing Elected officials It’ an inconvenience Hoping to serve. Have participated on jury Never been called Sometimes Regularly. Never Being Informed Attending Town Meetings Watch the News Read Internet News Subscribe to News Magazines Read the newspaper Join a Campaign Campaigned on an issue or proposition Have you run for office Helped a politician get elected Obey the Law Been Arrested Served jail time. Received any ticket Volunteer service Work with Disabled Work with elderly Work with homeless Work with children Other please list recycling Donate time or $ to Charities Community beautification AmeriCorps Church service Hospital work Peace Corp Report Criminal activity

2. Knowledge of your Country’s History Military Service Sometimes Regularly. Never Challenge the Government Paying Taxes Filed a lawsuit against government Participate in a Protest United States Foreign Policy Basic Understanding Solid Understanding Clueless Expert in U.S. History Knowledge of your Constitutional Freedoms Basic Understanding Solid Understanding Clueless Expert Have you registered for draft? Have you served in the Military Do you have plans to Join? Would you be willing to serve? Basic Understanding Solid Understanding Clueless Expert in U.S. History Student Questionnaire NAME PERIOD_______