Pulmonary Fibrosis Foundation Legislative Visit Report Question Title * 1. Your contact information Name * Address Address 2 City/Town * State/Province * ZIP/Postal Code * Country Email Address * Phone Number OK Question Title * 2. Date of meeting Date / Time Date OK Question Title * 3. Legislator's name OK Question Title * 4. Who did you meet with? Please include name(s) of any staff and/or legislators in the meeting. OK Question Title * 5. Contact information for staff / legislator Please enter name, phone number, email address for any staff you met with. Please enter name, phone number, email address for any staff you met with. Please enter name, phone number, email address for any staff you met with. OK Question Title * 6. What was your first "ask"? Please include bill number if applicable. OK Question Title * 7. What was your second "ask"? Please include bill number if applicable. OK Question Title * 8. What was your third "ask"? Please include bill number if applicable. OK Question Title * 9. Did the legislator or their staff make any commitments? OK Question Title * 10. Is any follow up required by the PFF? OK DONE