Polling Site:  
 
 
 
 
 
 
 
 
 
 
No.: 
Date: 
 Certified Initial: 
 
Exit Polling Site Evaluation Survey 
 
Please answer the following questions regarding your overall voting experience at this polling site.  Please be sure to fill-in the 
corresponding circle for your answers.  You may express your dissatisfaction or provide a recommendation or suggestion that you 
wish to see changed or implemented at your polling site in questions No. 10.  (Please Circle Only 1 letter for your answer for 
each question as required). 
 
1. Which polling site did you vote in? 
 
              a.  Ricardo Richards Elementary                    d. Juanita Gardine        g. Alfredo Andrews 
              b.  Alexander Henderson 
 
       e.  Pearl B. Larsen        h. St. Dunstan’s Episcopal  
              c. St. Croix Educational Complex 
       f.   Lew Muckle            i. Claude O. Markoe  
                                                                           j. D.C. Canegata  
2. What age group would you categorize yourself? 
            A. 18 to 24 
 
 
C. 45 to 65 
            B. 25 to 44 
 
 
D. 66 and up 
 
3. What sex are you? 
          A.  Male 
 
 
 
C.  Transgender 
          B.  Female 
 
 
 
D.  Do not wish to disclose 
 
4. What would you say was your overall voter experience at this polling site? 
          a.  Excellent 
 
 
 
c.  Moderately Good 
          b.  Very Good  
 
              d.  Poor 
 
5. How was the accessibility for people with disabilities? 
a. 
Excellent 
 
  
c.  Moderately Good 
b. Very Good  
 
d.  Poor 
 
6. Did poll workers at this site show any empathy towards challenged voters? 
             a.      Yes 
             b.       No 
 
7. Were poll workers proactive in the way they communicated with you and each other? 
           a. Yes 
    b. No 
 
8. Did you observe a high level of civic engagement by the poll workers towards other voters? 
   a.   Yes 
   b.   No 
 
9. Would you say that the poll workers created a pleasant voting atmosphere at your polling site 
location? 
 
        a.     Yes 
 
 
 
c.  Not Sure 
        b.     No 
 
 
 
d. Do not wish to answer 
 
10. Please briefly express your personal satisfaction, dissatisfaction, or recommendation(s) about 
the overall organizational setup and operation of this particular polling site location: