Philadelphia Election: Polling Place Survey
Please help identify problems and issues that arose as you voted at a polling place — or worked the polls — in Philadelphia. (This survey is not designed for issues with mail voting.)

For example, problems that may have
• delayed or prevented voters from voting,
• made it difficult for voters to vote or to have confidence in election results, or
• created difficulty for poll workers.

It may be a problem that you experienced as a voter. If you were a poll worker, it may be a problem that you witnessed, or that voters reported to you. We are especially interested in problems that could be corrected or avoided in the future by changes in training, equipment, policy, guidance or Pa. Election Code.

• Please fill out a separate form for each separate type of incident.
• If any question doesn't apply to your situation, just skip it.

Make sure to also report the problem to the Commissioners Office/Board of Elections: 215-686-7800

We may follow up with you for further details, but we will not identify you without your permission. We hope to make any conclusive findings public and use them to advocate for improvements.

If you have questions or feedback on the survey itself, please contact: info@povphilly.org

Please share this survey with anyone who might be able to add to it!

Thank you!
Protect Our Vote Philly

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Email *
Your role relating to this incident *
Ward affected
Division
If multiple, just put one of them
Polling location name if known
Polling location address if known
Date of issue or incident (eg: 11/07/2023)
MM
/
DD
/
YYYY
Approx. time issue started, if applicable
Time
:
Approx. time issue ended, if applicable
Time
:
Incident type (choose the best answer) *
If any voters were prevented from voting, or delayed, roughly how many?
For the last three questions, we just need a short but clear description of the problem and resolution, if any. We may follow up with you for more details.
Briefly, what was the incident or problem? (up to 50 words) *
Did you report it to anyone else, such as the Commissioners Office or anyone else? (up to 50 words) *
If it was resolved, how was it resolved? (up to 50 words)
Your name *
Your phone number
Thank you!
A copy of your responses will be emailed to the address you provided.
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