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* 1. Name (First and Last)

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* 2. Was the information ASN provided helpful? Conversely, is there any other information that would have been helpful for you to have?

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* 3. Overall, how was your experience?

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* 4. Office 1: Please list the congressional office you met with and the date.

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* 5. Office 1: Who did you meet with and what is their contact information?

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* 6. Office 1: Do they support or oppose replacing sequestration with a balanced approach to deficit reduction?

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* 7. Office 1: Does ASN need to follow up with anyone at this office to answer questions or provide further information?

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* 8. Office 1: Did you get pictures from any of your meetings? If so, please forward pictures—with names and titles of everyone in them—to policy@asn-online.org.

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* 9. Office 2: Please list the congressional office you met with and the date.

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* 10. Office 2: Who did you meet with and what is their contact information?

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* 11. Office 2: Did they support or oppose replacing sequestration with a balanced approach to deficit reduction?

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* 12. Office 2: Does ASN need to follow up with anyone at this office to answer questions or provide further information?

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* 13. Office 2: Did you get pictures from any of your meetings? If so, please forward pictures—with names and titles of everyone in them—to policy@asn-online.org.

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* 14. Office 3: Please list the congressional office you met with and the date.

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* 15. Office 3: Who did you meet with and what is their contact information?

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* 16. Office 3: Did they support or oppose replacing sequestration with a balanced approach to deficit reduction?

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* 17. Office 3: Does ASN need to follow up with anyone at this office to answer questions or provide further information?

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* 18. Office 3: Did you get pictures from any of your meetings? If so, please forward pictures—with names and titles of everyone in them—to policy@asn-online.org.

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* 19. Is there any additional information you would like to share?

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