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.)
4.Which best describes where you work?(Required.)
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.)
10.Is this your first SNMMI Hill Day?(Required.)