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Utah Academy of Family Physicians Fam Med PAC Endorsement Questionnaire
1.
What is your contact information?
Name
Address
Address 2
City/Town
State/Province
ZIP/Postal Code
Email Address
Phone Number
2.
Which office are you running for?
*
3.
Please describe your reason for requesting an endorsement from UAFP FamMedPAC. How will your election support family medicine?
(Required.)
*
4.
What is your position on the Affordable Care Act?
(Required.)
*
5.
What is your position on Medicaid Expansion?
(Required.)
*
6.
What kind of endorsement are you seeking?
(Required.)
Public endorsement
Campaign donation
Both
Current Progress,
0 of 14 answered
