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2018 Supplier's Conference

Office Information

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* 1. Team (state and number):

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* 2. Name of team member filling out the survey (last, first)?

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* 3. Member's State (Abbr.):

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* 4. Select a Member of the House of Representatives

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* 5. Or Senator

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* 6. Did the Member attend the meeting?

Yes

No

Other (photo, quick introduction, etc)

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* 7. Names of staffers if present (last, first):

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* 8. Staffer's position / title:

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* 9. Please provide their email address:

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* 10. How engaged were they during the discussion?

	Highly engaged (Asking specific questions, taking notes, etc.)	Moderate engagement (somewhat attentive)	Low / Not engage
Member	Member Highly engaged (Asking specific questions, taking notes, etc.)	Member Moderate engagement (somewhat attentive)	Member Low / Not engage
Staffer	Staffer Highly engaged (Asking specific questions, taking notes, etc.)	Staffer Moderate engagement (somewhat attentive)	Staffer Low / Not engage

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* 11. Have they ever seen a launch?

	Seen a launch	Visited a NASA Center	Visited a supplier in the State	Have not visited	Not discussed
Member	Member Seen a launch	Member Visited a NASA Center	Member Visited a supplier in the State	Member Have not visited	Member Not discussed
Staffer	Staffer Seen a launch	Staffer Visited a NASA Center	Staffer Visited a supplier in the State	Staffer Have not visited	Staffer Not discussed