Skip to content
2025 SNMMI Hill Day Attendance Survey
Basic Information and Location Questions
Please fill out each question. Your answers allow us to better match you with elected officials representing your area for Hill meetings.
*
1.
Please enter your full name and credentials
(Required.)
*
2.
Please provide your email address
(Required.)
*
3.
What SNMMI Committee are you a member of?
(Required.)
Government Relations Committee
Committee on Radiopharmaceuticals
Committee on Coding and Reimbursement
Technologist Advocacy Committee
Technologist Advocacy Group (TAG) Committee
I am not a member of an SNMMI Committee Listed Above
*
4.
Which best describes where you work?
(Required.)
Private Physician Office
Academic Medical Center
Hospital
Outpatient Imaging Facility
Government Facility
Research Institute
Education
Industry/Private Sector
Other (please specify)
*
5.
Please provide your professional title and name of workplace.
(Required.)
*
6.
What State do you currently reside in?
(Required.)
*
7.
Please enter your address, including zip code.
This will be used to connect you with the elected official who directly represents you.
(Required.)
*
8.
What Congressional District do you currently reside in?
(Required.)
*
9.
Will you need hotel accommodations for your visit?
(Required.)
Yes
No
*
10.
Is this your first SNMMI Hill Day?
(Required.)
Yes
No