The 5th Square Candidate Questionnaire

Below please find the digital version of the printed questionnaire we sent your campaign office. You may elect to fill out this digital version in lieu of the printed version. In order to fill out this digital version, you must sign into this website with the official candidate email, Facebook or Twitter accounts in order for us to certify the validity of responses. 

This questionnaire is not directly linked anywhere on our website in order to minimize the risk of non-candidates responding. This questionnaire has been paid for by The 5th Square PAC ( It is not authorized by any candidate or candidate’s committee.

Responses to this questionnaire must be received by Friday, May 1st, either in digital or printed form. If you are sending in the printed form please send it to:

The 5th Square
Attn: Geoff Kees Thompson
2217 Kimball Street
Philadelphia, PA 19146

Please feel free to call The 5th Square Chair Geoff Kees Thompson at 215.352.5456 with any questions. You can also email The 5th Square at [email protected]. If you do, Please CC [email protected].

Name of Candidate: