Job creation, economic growth and government spending top the list of concerns among Massachusetts employers as Americans head to the polls tomorrow, a new AIM survey finds.

Forty-two percent of employers responding to the survey identified job creation and economic growth as the issues about which they are most concerned heading into the presidential election. Twenty-four percent pointed to deficit and government spending, 13 percent to national security and terrorism and 11 percent to health care.

The survey appeared as a special question on the October AIM Business Confidence Index. Many of the 144 companies that participated expressed discouragement with the tenor of the race for the White House.

“One candidate wants to spend us to death and the other hasn’t a clue. There is no clear vision for the path forward,” wrote one employer.

Another commented: “We need more responsible individuals in government. Government needs to focus less on revenue and more on cutting costs,” wrote one employer.

Other potential issues listed on the AIM survey were climate change, immigration and moral values.

The employers looking at election issues have been more confident about the Massachusetts economy than the national one for 78 consecutive months.   The Massachusetts segment of the AIM Confidence Index currently stands at 57.9, versus 49.2 for the U.S. Index of national business conditions.

Polls indicate that Democrat Hillary Clinton is expected to win easily in Massachusetts, while many races for state House and Senate remain competitive as Republicans have leveraged the popularity of Governor Charlie Baker.