Name *

First Name

Last Name

Phone *

(###)

###

####

Address *

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Q1 – Do you agree the cost-of-living crisis is the main challenge facing Canada? *

Yes

No

Unsure

Q2 – Do the job losses recorded in Canada’s economy concern you and your family? *

Yes

No

Unsure

Q3 – Does the accumulated national debt of $1.35 Trillion concern you? *

Yes

No

Unsure

Q4 – Do you agree responsible development of Canada’s rich resources is key to the country’s economic development in light of global trade challenges? *

Yes

No

Unsure

Q5 – Do you support the Conservatives in their focus on boosting take-home pay, cutting wasteful spending, and ending hidden taxes? *

Yes

No

Unsure