Rhode Island DSA Membership Survey

The purpose of this survey is to learn what type of work you’d like to do with Rhode Island DSA as well as which communities you have relationships with. This information will be used for political organizing and we will not share it with any commercial or government entity (responses will be stored in Google Docs).

Full Name

Phone Number

Zip Code

Yes, I joined in the last two months No, I've been a member for more than two months No, I am not yet a member of RI DSA

Yes, monthly Yes, yearly No Unsure

Do you make a monthly or annual contribution to the national Democratic Socialists of America?

Yes No

Please Specify:

Art supplies Car pooling Personal storage space Venue for events or meetings Other

Please Specify:

Social event planning Posting to Chapter's social media Setting up and running phone/text banks Creating chapter merchandise Other

Please Specify:

No time to volunteer currently 1-3 hours per month 4-6 hours per month 7-10 hours per month 10+ hours per month Other

Please Specify:

Employment

Full time Part time Student Retired Self-employed Business owner Prefer not to say Other

Please specify:

What industry do you work in?

What is the name of your workplace? If you are a student, which school do you attend?

Yes, and I am actively organizing in my union Yes, but I'm not active in my union No, but I want to learn about organizing a union No, and I am not interested in organizing a union

If you belong(ed) to a union, please tell us the name of your union and local number.

Yes No

Community Involvement

Religious Institution Neighborhood association Cultural organization Other

Please specify:

Please list the names of the organizations here.

Do you have a leadership position in any of the organizations?

Final Information

Do you or your family volunteer for any organization that hasn't come up in this survey?

Please list any other community leaders you know (journalists, academics, elected officials, community organizers, etc.)

Labor: Organize within your union to make it more democratic and progressive Labor: Take a job in a strategic industry and organize a union Political education: Attend/run a weekly reading group Political education: Teach people about socialism Labor: Organize your workplace Mobilizing: Organize within DSA and mobilize members Electoral: Help elect independent socialists

Are there any other projects or issues you’re especially eager to work on?

Optional Demographic Survey

Answer these questions as you feel comfortable. You may add a custom response by clicking the “other” box.

I am a student High school Some college Associate's degree Bachelor's degree Graduate degree Other

Please Specify:

Working class Blue collar Poor/low-income Professional class Wealthy Upper class/capitalist class Other

Please Specify:

Age

Black/African descent Hispanic/Latino Native American/American Indian East Asian Pacific Islander South Asian Middle Eastern White Other

Please Specify:

Woman Man Nonbinary Other

Please Specify:

Yes No

Gay Straight Bisexual Other

Please Specify: