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IOCDF Policy Advocacy Questionnaire
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Contact information:
(Required.)
First Name
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Last Name
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Street Address
City/Town
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State/Province
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AL Alabama
AK Alaska
AS American Samoa
AZ Arizona
AR Arkansas
CA California
CO Colorado
CT Connecticut
DE Delaware
DC District of Columbia
FM Federated States of Micronesia
FL Florida
GA Georgia
GU Guam
HI Hawaii
ID Idaho
IL Illinois
IN Indiana
IA Iowa
KS Kansas
KY Kentucky
LA Louisiana
ME Maine
MH Marshall Islands
MD Maryland
MA Massachusetts
MI Michigan
MN Minnesota
MS Mississippi
MO Missouri
MT Montana
NE Nebraska
NV Nevada
NH New Hampshire
NJ New Jersey
NM New Mexico
NY New York
NC North Carolina
ND North Dakota
MP Northern Mariana Islands
OH Ohio
OK Oklahoma
OR Oregon
PW Palau
PA Pennsylvania
PR Puerto Rico
RI Rhode Island
SC South Carolina
SD South Dakota
TN Tennessee
TX Texas
UT Utah
VT Vermont
VI Virgin Islands
VA Virginia
WA Washington
WV West Virginia
WI Wisconsin
WY Wyoming
ZIP/Postal Code
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Email Address
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Would you like to receive emailed policy advocacy updates, action alerts, and notifications about upcoming events from the IOCDF?
(Required.)
Yes
No
Use the sliders to tell us how passionate you are about the following issues:
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Making treatment for OCD and related disorders more affordable and accessible is....
(Required.)
Not very important to me
Most important to me
Clear
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Expanding and improving policies and programs that help prevent suicide is...
(Required.)
Not very important to me
Most important to me
Clear
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Preventing discrimination against people with disabilities in the workplace, housing, and other settings is....
(Required.)
Not very important to me
Most important to me
Clear
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Increasing government funding for OCD and related disorders research is...
(Required.)
Not very important to me
Most important to me
Clear
Please list any other issues that you are passionate about below:
Tell us about any connections you have to your elected officials:
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:
