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2010 PRESIDENTIAL SURVEY PREPARED FOR: Eva Rajczyk

48 Marshland St. Haverhill, MA 0] 830-33 17

DNC MEMBERSHIP #: 777015403952

REGISTRATION #: XXA6W6B

PLEASE COMPLETE AND RETURN BY: March 26, 2010

SURVEY INSTRUCTIONS:

1. Portions of this survey contain computer-generated infonnation, including your name and address. Please review this infonnation carefully and note any corrections or changes in the margins near each entry.

2. Please answer each question to the best of your knowledge or ability. To ensure statistical accuracy, please do not skip any questions in the survey.

3. To assist in the tabulation of your survey, please print all of your responses in black or blue ink if possible.

4. Complete your ONC contribution fonn.

5. Return your completed survey, along with your contribution, in the envelope provided.

SECTION I: PERSONAL INFORMATION

1. Name: Eva Rajczyk

2. Address: 48 Marshland St.

3. City: Haverhill State: MA ZIP: 01830-3317

4. Gender: PtSFEMALE o MALE

Please continue the survey inside .

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SECTION II: PRESIDENT OBAMA'S PERFORMANCE

1. How do you rate President Obama's performance in addressing the nation's economic situation?

;q Excellent o Good o Fair

. Poor o Undecided

2. How do you rate President Obama's performance regarding health insurance reform?

o Excellent o Good )i) Fair o Poor o Undecided

3. How do you rate President Obama's performance regarding our nation's energy policies?

~ Excellent :J Good :J Fair ::J Poor ":J Undecided

4. How do you rate the President's performance concerning foreign policy?

Ex 11 nt o Good

Fair o Poor

Undecided

5. How do you rate the President's performance in handling the war in Afghanistan?

o Excellent ~Good o Fair o Poor o Undecided

6. How do you rate the Obama Administration's efforts to hand over responsibility to the Iraqi people?

Excellent

Ji'-Good o Fair o Poor o Undecided

7. How do you rate President Obama's overall performance?

~Excellent - Good

o Fair ::J Poor ::J Undecided

SECTION III: NATIONAL PRIORITIES

Please rank the following 14 national issues by their level of priority. Mark the appropriate number by each issue, with the number 1 signifying most important and the number 14 signifying least important.

2. America's Economic Situation

3 Regulation of Financial Institutions and Markets

~ Lowering Unemployment

~ Dealing with Iran

-l- Health Insurance Reform

& Fighting Terrorism

--=:L War in Afghanistan

~ Handing over responsibility to the Iraqi People

1- Improving Race Relations

13 Nuclear Proliferation

Lf. Improving Education

S- Energy Independence

11 America's Image in the World Community

12 Dealing with North Korea

SECTION IV: DEMOCRATIC PARTY PRIORITIES

Please rank the following 5 goals for the Democratic Party by their level of priority. Mark the appropriate number by each goal, with the number 1 signifying most important and the number 5 signifying least important.

3- Organizing Grassroots Support

£ Raising Funds for 2010 Congressional Elections

4 Electing Democrats on the State and Local Level

2 Reelecting President Obama in 2012

_,_ Combating Republicans' Obstructionist Tactics

Please continue the survey on the back page .

•

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SECTION V: COMMENTS

Please tell us your thoughts about President Obama, the Democratic Party, and the issues our nation is facing:

SECTION VI: CONTRIBUTION

Are you willing to offer your support to President Obama and the Democratic National Committee at this critical time? If so, please indicate the amount of your contribution:

0$25 0$35* 0$50 0$100 o Other $

*A contribution ofthis amount or more will be especially helpful to our efforts. Contributions to the Democratic National Committee are not tax deductible as charitable contributions for federal income tax purposes.

Please complete the information below as required by law.

Please make your check payable to the DNC and return it with this form in the envelope provided to the Democratic National Committee, 430 South Capitol St, SE, Washington, DC 20003. To charge your donation, please see reverse.

'1ETHOD 777015403952 XXAbWbB ratic National Committee enclosed

J I prefer to charge my gift to:

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.J he_ - P3) able to Oem

Amount: $ _ Card #:

Exp. Date: [TI-[TI Signature: _

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