IOCDF Policy Advocacy Questionnaire Question Title * Contact information: First Name * Last Name * Street Address City/Town * State/Province * -- select state -- AL AlabamaAK AlaskaAS American SamoaAZ ArizonaAR ArkansasCA CaliforniaCO ColoradoCT ConnecticutDE DelawareDC District of ColumbiaFM Federated States of MicronesiaFL FloridaGA GeorgiaGU GuamHI HawaiiID IdahoIL IllinoisIN IndianaIA IowaKS KansasKY KentuckyLA LouisianaME MaineMH Marshall IslandsMD MarylandMA MassachusettsMI MichiganMN MinnesotaMS MississippiMO MissouriMT MontanaNE NebraskaNV NevadaNH New HampshireNJ New JerseyNM New MexicoNY New YorkNC North CarolinaND North DakotaMP Northern Mariana IslandsOH OhioOK OklahomaOR OregonPW PalauPA PennsylvaniaPR Puerto RicoRI Rhode IslandSC South CarolinaSD South DakotaTN TennesseeTX TexasUT UtahVT VermontVI Virgin IslandsVA VirginiaWA WashingtonWV West VirginiaWI WisconsinWY Wyoming ZIP/Postal Code * Email Address * Question Title * Would you like to receive emailed policy advocacy updates, action alerts, and notifications about upcoming events from the IOCDF? Yes No Use the sliders to tell us how passionate you are about the following issues: Question Title * Making treatment for OCD and related disorders more affordable and accessible is.... Not very important to me Most important to me Clear i We adjusted the number you entered based on the slider’s scale. Question Title * Expanding and improving policies and programs that help prevent suicide is... Not very important to me Most important to me Clear i We adjusted the number you entered based on the slider’s scale. Question Title * Preventing discrimination against people with disabilities in the workplace, housing, and other settings is.... Not very important to me Most important to me Clear i We adjusted the number you entered based on the slider’s scale. Question Title * Increasing government funding for OCD and related disorders research is... Not very important to me Most important to me Clear i We adjusted the number you entered based on the slider’s scale. Question Title * Please list any other issues that you are passionate about below: Tell us about any connections you have to your elected officials: Question Title * Do you have a relationship with one of your local or state elected officials, or a member of Congress? Tell us about who you are connected with and how: Done
