Political Poll  ·  Trending

Discover What Matters Most to Voters in Your District

Capture voter turnout likelihood, issue rankings, party trust, and House vote preference in one congressional district poll with built-in demographics.

Jade theme
formbuilder.ai/f/congressional-district-voter-issue-priorities-party-affiliation-political-poll
Congressional District Voter Issue Priorities & Party Affiliation Political Poll
ZIP Code
· · ·
Congressional District, if known
· · ·
Are you currently registered to
Submit

This congressional district political poll template gives you a ready-made questionnaire for understanding how voters in a single House district feel about the issues, the parties, and the race ahead. It opens with ZIP code, congressional district, voter registration status, and likelihood of voting. It then asks the classic right direction/wrong track question, job approval for the current U.S. Representative, and a ballot test asking which candidate respondents would choose if the election were held today. An issue priorities section asks voters to rank the issues driving their decision, choose which party they trust more on each one, and describe local concerns in their own words.

The template is built for campaign teams, political consultants, pollsters, advocacy organizations, party committees, newsrooms, and academic researchers who need reliable district-level insight. A closing section covers party identification, political ideology, age, gender, race and ethnicity, education, and community type. These questions let you segment results and compare how different groups of voters respond to the same questions.

A structured, consistent poll makes it easier to spot trends, test messaging, and decide where to focus resources before Election Day. Because the questions mirror standard measures used in professional political polling, your results are easier to interpret and benchmark over time. No names or contact details are requested, so respondents can share candid opinions with confidence. Customize the candidate names, issue list, and district details to fit your election, then share the form by link and review responses as they come in. Every field is editable, so you can add screening questions, adjust answer choices, or trim items to keep the survey short and boost completion rates.

3 Pages
19 Questions
~6min To complete
Free No credit card needed
Field types Dropdown ×8 Single Choice ×3 Short Text ×2 Scale Rating ranking choicematrix Long Text Email termsandconditions

Questions in this template

Free template

The exact questions included — customize any of them to fit your needs.

Page 1 Your District & Voting Outlook 7 questions
Your District & Voting Outlook
1 ZIP Code * Short Text
2 Congressional District, if known — e.g., PA-07 Short Text
3 Are you currently registered to vote? * Single Choice
4 How likely are you to vote in the upcoming congressional election? * Scale Rating
5 Overall, do you think the country is headed in the right direction, or is it off on the wrong track? * Single Choice
6 Do you approve or disapprove of the job your current U.S. Representative is doing? * Dropdown
7 If the election for U.S. House of Representatives were held today, which candidate would you vote for in your district? * Dropdown
Page 2 Issue Priorities 3 questions
Issue Priorities
1 Rank the following issues from most to least important in deciding your vote for Congress * ranking
2 Which party do you trust more to handle each of the following issues? * choicematrix
3 Is there a specific issue affecting your community that you want your U.S. Representative to focus on? Please describe it. Long Text
Page 3 Party Affiliation & Background 9 questions
Party Affiliation & Background
1 Generally speaking, which political party do you identify with? * Dropdown
2 How would you describe your political views? * Dropdown
3 Age Range * Dropdown
4 Gender Dropdown
5 Race / Ethnicity Dropdown
6 Highest Level of Education Completed Dropdown
7 Which best describes the area where you live? Single Choice
8 Email Address — to receive a summary of the poll results Email
9 I confirm that I am at least 18 years old and consent to my responses being collected and reported anonymously in aggregate for polling and research purposes. * termsandconditions

How to use this template

Click "Use This Template Free" to open it in the FormBuilder editor. From there you can add, remove, or reorder fields with drag-and-drop, switch themes for instant restyling, add your logo, configure email notifications, and set your success message. When ready, publish with a unique link and start collecting responses immediately.

  • Ready-to-use structure — pre-configured fields out of the box
  • Applied "Jade" theme — fonts, colors, and layout already set
  • Mobile-responsive — works on every device without extra configuration
  • Fully editable with drag-and-drop — change anything in seconds
  • Free to use on any plan, no credit card required

Use this template

Free to use. Open in the editor, customize, and publish in minutes.

Use This Template Free Preview the form
Category Survey & Research
Subcategory Political Poll
Theme Jade
Badge Trending
Price Free
Coding required None

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