* 1. What is the name of the Member of Congress?

2. What is the name of the congressional staff member that was present?

* 3. Please check each of the following issues that were discussed:

4. What was the response?

5. What follow-up should be done?
*Note: If a commitment was made to you regarding supporting or co-sponsoring a bill, you should personally follow-up with the legislator or staff.

* 6. What is your name?

* 7. Are you a constituent of the Member of Congress you visited?

* 8. What is your email address?

9. Is there any additional information you would like for ASA's DC office to know?

10. It is important for us to know if a meeting was sought by a constituent and the meeting request was not accommodated by the legislator or his/her staff. Check here if a meeting request was not accommodated.

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