Legislative Vote Approval Quiz Form
A quiz form for evaluating a legislative vote approval scenario. Please answer based on the legislative item, your decision, and your brief justification.
Respondent Context
Full Name
*
First Name
Last Name
Role / Affiliation
*
Please Select
Citizen
Staff Member
Policy Analyst
Legislator
Advocate
Student
Other
Region / Jurisdiction
*
Legislative Vote Scenario
Bill/Resolution Title or Number
*
Chamber or Body
*
House
Senate
Committee
Council
Other
Vote Date
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Scenario Summary
*
Quiz Responses
Should the legislative vote be approved?
*
Yes, approve
No, reject
Abstain / unsure
Reasons for your decision
*
Policy alignment
Fiscal impact
Legal clarity
Public interest
Constituent impact
Administrative feasibility
Ethical considerations
Other
Decision evaluation
*
Rows
Strongly disagree
Disagree
Neutral
Agree
Strongly agree
Policy alignment
1
2
3
4
5
Fiscal impact
6
7
8
9
10
Legal clarity
11
12
13
14
15
Public interest
16
17
18
19
20
Submit
Should be Empty: