* indicates information that you need to provide.Do you believe the country is on the right or wrong direction?*Please select an optionRight DirectionWrong DirectionUnsureWhat do you believe is the most pressing issue facing the United States?*Please select an optionJobs/EconomySpending/DebtEducationHealthcareNational DefenseVeterans AffairsProtecting the unbornSecond AmendmentEnergy SecurityImmigrationTax ReformOtherWhat do you believe is the single best tool to get our deficit spending under control?*Please select an optionCutting SpendingIncreasing RevenueUnsureWhat do you believe Congress should do about Obamacare?*Please select an optionNothing—it’s fine as isReplace with patient-centered reformsRepeal itUnsureHave your healthcare costs increased, decreased or stayed the same since the implementation of Obamacare?*Please select an optionIncreasedDecreasedStayed the sameDo you believe the government should play a larger or smaller role in people's lives?*Please select an optionLargerSmallerUnsureDo you believe the economy is going to get better in the next year?*Please select an optionYesNoUnsureDo you support using more domestic energy sources, like coal and natural gas, to lower energy costs and create jobs?*Please select an optionYesNoUnsureDo you believe that the impact on the economy should be considered when a federal agency writes new regulations?*Please select an optionYesNoUnsureDo you believe that balancing our federal budget would significantly increase economic security for families, and produce more job opportunities for Americans?*Please select an optionYesNoUnsureDo you believe educational standards should be set by federal government bureaucrats or by state and local teachers and parents?*Please select an optionFederal government bureaucratsState and local teachers and parentsUnsureDo you agree with the President's unilateral action granting protection from deportation to illegal immigrants?*Please select an optionYesNoUnsureHow do you get most of your news and information? (Check all that apply)*Local NewsLocal TVSatellite RadioNational NewspaperTwitterLocal RadioCable TVLocal NewspaperFacebookOther OnlineEmail: I would like to subscribe to Representative Wagner's newsletter