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* 1. Your name:

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* 2. Organization:

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* 3. Email address:

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* 4. How confident are you in your ability to impact the legislative process at the state level? (Scale of 1 to 5, 1= no confidence, 5 = total confidence)

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* 5. On a scale of 1 to 5, how would you rate your overall understanding/knowledge on the following topics? (Scale of 1 to 5, 1= no knowledge or understanding, 5 = Total knowledge/complete understanding)

  No knowledge/understanding A little knowledge/understanding  Some knowledge/understanding Good knowledge/understanding Total knowledge/complete understanding 
Who’s who and power dynamics between key players at the state level
The landscape of conference and leadership dynamics
Implementation and associated strategies as a key opportunity to realize the potential of the campaign
How to recognize when to shift tactics within a campaign and how others have navigated that shift successfully (or unsuccessfully and learned from their mistakes)
The different type(s) of legislative wins and the importance of identifying them throughout a campaign
How to use the Legislative Campaign Assessment Tracking Tool in the short term to think about this legislative session
How to use the Legislative Campaign Assessment Tracking Tool in the long term to think strategically about your campaign
Implementation and associated strategies as a key opportunity to realize the potential of the campaign

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* 6. How do you rate the Advocacy Institute Training Overall? (Scale of 1 to 5, 1= very poor, 2 = poor, 3 = average, 4 = Good, 5 = Excellent)

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* 7. We use a number of tools. How likely are you to use OR share the following? (Scale of 1 to 5, 1= Not likely to share, 5 = Will definitely share)

  Not likely to share Will definitely share
Printed maps, handouts, worksheets and exercises
Interactive maps
Videos
Training slide deck

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* 8. On a scale of 1 to 5, how effective was the Advocacy Institute at creating an interactive learning space? (Scale of 1 to 5, 1 = totally ineffective, 3 = neither ineffective or effective, 5 - totally effective)

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* 9. If you were trying to explain to a colleague about what it was like to participate in this training, and what you learned, what would you tell them?

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* 10. Additional comments?

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