New York HIMSS Advocacy - Post-Meeting Follow-up
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Thank you for your support and participation in the NY HIMSS Chapter Advocacy Initiative. In order to keep our momentum and maintain engagement with our legislators, we would appreciate taking a few moments to complete the following questions. You may contact Chris Harris, NY HIMSS Advocacy Chair at chriharris@deloitte.com with any questions.

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1. Your name:

Your name:

2. Email address:

Email address:

3. Phone:

Phone:

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4. Name of representative:

Name of representative:

5. Date of the meeting:

Date of the meeting:

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6. Please describe the discussion points that were of particular interest to your legislator:

Please describe the discussion points that were of particular interest to your legislator:

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7. Please describe any follow-up actions requested:

Please describe any follow-up actions requested:

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8. Please provide any suggestions for improvement or key themes needed for the next meeting:

Please provide any suggestions for improvement or key themes needed for the next meeting:

New York HIMSS Advocacy - Post-Meeting Follow-upExit this survey

*1. Your name:

2. Email address:

3. Phone:

*4. Name of representative: