2019 6th Annual Kidney Patient Summit Legislative Meeting Feedback Form

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* 1. Your Name:

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* 2. Lawmaker’s Name:

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* 3. Staff member you met with:

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* 4. Was the Member present?:

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* 5. Does your legislator or staffer have a connection to kidney disease?

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* 6. Were they knowledgeable about CKD?

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* 7. Will your legislator co-sponsor the Living Donor Protection Act (H.R. 1224/S.511) ?

	Supports	Likely to Support	No Position	Unlikely to Support	Does not Support
Position	Position Supports	Position Likely to Support	Position No Position	Position Unlikely to Support	Position Does not Support

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* 8. Will your legislator co-sponsor legislation to extending Medicare coverage for immunosuppressive medications indefinitely?

	Supports	Likely to Support	No Position	Unlikely to Support	Does not Support
Position	Position Supports	Position Likely to Support	Position No Position	Position Unlikely to Support	Position Does not Support

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* 9. Will your legislator support our appropriations priorities?

	Supports	Likely to Support	No Position	Unlikely to Support	Does not Support
Position	Position Supports	Position Likely to Support	Position No Position	Position Unlikely to Support	Position Does not Support

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* 10. If specific follow-up with this office is required by NKF, please specify below.

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* 11. Is there any other information that you would like to share about your meeting?