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<html>
<head>
<title>STERLING Feedback Page</title>
<meta name="Microsoft Border" content="none, default">
</head>
<body>
<p><font face="Tahoma">Please tell us what you think about my web site, government
activities or a specific issue you are concerned about. If you provide us with your
contact information, we will be able to reach you in case we have any questions.</font></p>
<form method="POST" action="_vti_bin/shtml.dll/feedback.htm" webbot-action="--WEBBOT-SELF--">
<!--webbot bot="SaveResults" u-file="sterling/_private/inforeq.txt" s-format="TEXT/TSV" b-label-fields="TRUE" s-builtin-fields="TimeStamp,REMOTE_NAME" S-Email-Format="TEXT/PRE" S-Email-Address="normsterling@normsterling.com" startspan --><strong>[FrontPage Save Results Component]</strong><!--webbot bot="SaveResults" endspan i-checksum="6561" --><dl>
<dt><font face="Tahoma"><strong><font SIZE="+1" COLOR="#040557">Government Performance</font></strong>
</font></dt>
<dd><font face="Tahoma">I would like you to rate your Government's performance. The rankings
are from 1 to 4, where 1 is <em>very satisfactory</em>, 2 is <em>satisfactory</em>, 3 is <em>unsatisfactory</em>,
and 4 is <em>very unsatisfactory</em>. </font><table>
<tr>
<td width="400"><font size="-1" face="Tahoma">Bringing tax relief to middle and lower
income Ontarians </font></td>
<td valign="top" width="120"><font size="-1" face="Tahoma"><input type="radio" name="BringingTaxRelief" value="VS"><em>1</em> <input type="radio" name="BringingTaxRelief" value="S"><em>2</em> <input type="radio" name="BringingTaxRelief" value="U"><em>3</em> <input type="radio" name="BringingTaxRelief" value="VUS"><em>4</em> </font></td>
</tr>
<tr>
<td><font size="-1" face="Tahoma">Reducing the size and cost of government </font></td>
<td valign="top"><font size="-1" face="Tahoma"><input type="radio" name="ReducingCost" value="VS"><em>1</em> <input type="radio" name="ReducingCost" value="S"><em>2</em> <input type="radio" name="ReducingCost" value="U"><em>3</em> <input type="radio" name="ReducingCost" value="VUS"><em>4</em> </font></td>
</tr>
<tr>
<td><font size="-1" face="Tahoma">Protecting priorities such as health care, education,
and law enforcement </font></td>
<td valign="top"><font size="-1" face="Tahoma"><input type="radio" name="ProtectingPriorities" value="VS"><em>1</em> <input type="radio" name="ProtectingPriorities" value="S"><em>2</em> <input type="radio" name="ProtectingPriorities" value="U"><em>3</em> <input type="radio" name="ProtectingPriorities" value="VUS"><em>4</em> </font></td>
</tr>
<tr>
<td><font size="-1" face="Tahoma">Removing barriers to growth and accelerating job
creation </font></td>
<td valign="top"><font size="-1" face="Tahoma"><input type="radio" name="RemovingBarriers" value="VS"><em>1</em> <input type="radio" name="RemovingBarriers" value="S"><em>2</em> <input type="radio" name="RemovingBarriers" value="U"><em>3</em> <input type="radio" name="RemovingBarriers" value="VUS"><em>4</em> </font></td>
</tr>
<tr>
<td><font size="-1" face="Tahoma">Balancing the budget </font></td>
<td valign="top"><font size="-1" face="Tahoma"><input type="radio" name="BalancingBudget" value="VS"><em>1</em> <input type="radio" name="BalancingBudget" value="S"><em>2</em> <input type="radio" name="BalancingBudget" value="U"><em>3</em> <input type="radio" name="BalancingBudget" value="VUS"><em>4</em> </font></td>
</tr>
<tr>
<td><font size="-1" face="Tahoma">Helping people escape dependency on welfare </font></td>
<td valign="top"><font size="-1" face="Tahoma"><input type="radio" name="HelpingPeopleEscape" value="VS"><em>1</em> <input type="radio" name="HelpingPeopleEscape" value="S"><em>2</em> <input type="radio" name="HelpingPeopleEscape" value="U"><em>3</em> <input type="radio" name="HelpingPeopleEscape" value="VUS"><em>4</em> </font></td>
</tr>
</table>
</dd>
<dt><font face="Tahoma"><strong><font SIZE="+1" COLOR="#040557">Your MPP's Performance</font></strong>
</font></dt>
<dd><font face="Tahoma">Please rate the performance of your MPP, Norm Sterling. The rankings
are from 1 to 4, where 1 is <em>very satisfactory</em>, 2 is <em>satisfactory</em>, 3 is <em>unsatisfactory</em>,
and 4 is <em>very unsatisfactory</em>. </font><table>
<tr>
<td width="400"><font size="-1" face="Tahoma">Representing your concerns at Queen's Park </font></td>
<td valign="top" width="120"><font size="-1" face="Tahoma"><input type="radio" name="RepresentingConcerns" value="VS"><em>1</em> <input type="radio" name="RepresentingConcerns" value="S"><em>2</em> <input type="radio" name="RepresentingConcerns" value="U"><em>3</em> <input type="radio" name="RepresentingConcerns" value="VUS"><em>4</em> </font></td>
</tr>
<tr>
<td><font size="-1" face="Tahoma">Working to meet the local needs of Carleton</font></td>
<td valign="top"><font size="-1" face="Tahoma"><input type="radio" name="MeetsLocalNeeds" value="VS"><em>1</em> <input type="radio" name="MeetsLocalNeeds" value="S"><em>2</em> <input type="radio" name="MeetsLocalNeeds" value="U"><em>3</em> <input type="radio" name="MeetsLocalNeeds" value="VUS"><em>4</em> </font></td>
</tr>
<tr>
<td><font size="-1" face="Tahoma">Accessible to individuals and groups from the riding </font></td>
<td valign="top"><font size="-1" face="Tahoma"><input type="radio" name="Accessibility" value="VS"><em>1</em> <input type="radio" name="Accessibility" value="S"><em>2</em> <input type="radio" name="Accessibility" value="U"><em>3</em> <input type="radio" name="Accessibility" value="VUS"><em>4</em> </font></td>
</tr>
<tr>
<td><font size="-1" face="Tahoma">Serving as an effective member of the government team </font></td>
<td valign="top"><font size="-1" face="Tahoma"><input type="radio" name="EffectiveMember" value="VS"><em>1</em> <input type="radio" name="EffectiveMember" value="S"><em>2</em> <input type="radio" name="EffectiveMember" value="U"><em>3</em> <input type="radio" name="EffectiveMember" value="VUS"><em>4</em> </font></td>
</tr>
<tr>
<td><font size="-1" face="Tahoma">Have you contacted Norm Sterling's Constituency Office? </font></td>
<td valign="top"><font size="-1" face="Tahoma"><input type="radio" name="ContactedGary" value="Yes"><em>Yes</em> <input type="radio" name="ContactedGary" value="No"><em>No</em> </font></td>
</tr>
<tr>
<td><font size="-1" face="Tahoma">If you answered <em>yes</em> to the above question, how
would you rate the<br>
way in which your concern, question or request was handled? </font></td>
<td valign="top"><font size="-1" face="Tahoma"><input type="radio" name="RequestHandled" value="VS"><em>1</em> <input type="radio" name="RequestHandled" value="S"><em>2</em> <input type="radio" name="RequestHandled" value="U"><em>3</em> <input type="radio" name="RequestHandled" value="VUS"><em>4</em> </font></td>
</tr>
</table>
</dd>
<dt><font face="Tahoma"><strong><font SIZE="+1" COLOR="#040557">Staying in touch</font></strong>
</font></dt>
<dd><font face="Tahoma">In order that we may respond to you in an appropriate manner, please
complete this section. </font><table>
<tr>
<td><font size="-1" face="Tahoma">Would you like to be on Norm Sterling's mailing list to
receive information on important issues? </font></td>
<td valign="top"><font size="-1" face="Tahoma"><input type="radio" name="MailingList" value="Yes" checked><em>Yes</em> <input type="radio" name="MailingList" value="No"><em>No</em>
</font></td>
</tr>
<tr>
<td><font size="-1" face="Tahoma">Would you like to receive regular 1 page faxes about
issues in news? </font></td>
<td valign="top"><font size="-1" face="Tahoma"><input type="radio" name="ReceiveFax" value="Yes" checked><em>Yes</em> <input type="radio" name="ReceiveFax" value="No"><em>No</em>
</font></td>
</tr>
</table>
<p><font face="Tahoma"><br>
<strong>If yes, what issues are you interested in? </strong><br>
<font size="-1"><input type="checkbox" name="InterestedIn" value="GovtSpending"><em>Government
Spending and taxation</em> <input type="checkbox" name="InterestedIn" value="Education"><em>Education</em>
<input type="checkbox" name="InterestedIn" value="TenantIssues"><em>Tenant Issues</em> <input type="checkbox" name="InterestedIn" value="LandlordIssues"><em>Landlord Issues</em> <input type="checkbox" name="InterestedIn" value="SmallBusiness"><em>Small Business</em> <input type="checkbox" name="InterestedIn" value="CorporateBusiness"><em>Corporate Business</em> <input type="checkbox" name="InterestedIn" value="NaturalResources"><em>Natural Resources</em> <input type="checkbox" name="InterestedIn" value="HealthCare"><em>Health Care</em> <input type="checkbox" name="InterestedIn" value="AutoInsurance"><em>Auto Insurance</em> <input type="checkbox" name="InterestedIn" value="LawAndOrder"><em>Law and Order</em> <br>
<input type="checkbox" name="InterestedIn" value="Agriculture"><em>Agriculture</em> <input type="checkbox" name="InterestedIn" value="Environment"><em>Environment</em> <input type="checkbox" name="InterestedIn" value="Tourism"><em>Tourism</em> <input type="checkbox" name="InterestedIn" value="Labour"><em>Labour</em> </font></font></p>
<font size="-1"></dd>
</font>
</dl>
<h3><font color="#000080" face="Tahoma">Contact Information</font></h3>
<table>
<tr>
<td align="right"><font face="Tahoma"><em>Name</em></font></td>
<td><font face="Tahoma"><input type="TEXT" name="Name" value size="35"></font></td>
</tr>
<tr>
<td align="right"><font face="Tahoma"><em>Address</em></font></td>
<td><font face="Tahoma"><input type="TEXT" name="Address" value size="35"></font></td>
</tr>
<tr>
<td align="right"><font face="Tahoma"><em>Telephone</em></font></td>
<td><font face="Tahoma"><input type="TEXT" name="Telephone" value size="35"></font></td>
</tr>
<tr>
<td align="right"><font face="Tahoma"><em>FAX</em></font></td>
<td><font face="Tahoma"><input type="TEXT" name="FAX" value size="35"></font></td>
</tr>
<tr>
<td align="right"><font face="Tahoma"><em>E-mail</em></font></td>
<td><font face="Tahoma"><input type="TEXT" name="Email" value size="35"></font></td>
</tr>
</table>
<p><font face="Tahoma"><input type="submit" value="Submit Feedback"> <input type="RESET" value="Reset Form"> </font></p>
</form>
</body>
</html>