PathNET Grassroots Activities Tracker Survey

1.Have you completed a laboratory tour in 2022?

Yes

No

I have one scheduled in the future and/or am working on setting one up

If yes, please list the name of the legislator and/or staff:

2.Have you given a pitch inviting CAP members to join PathNET to a CAP council and/or committee in 2022?

Yes

No

I am interested - please contact me.

If yes, fill out the committee name below.

3.Have you met with any members of Congress this year?

Yes

No

Please list their names and the date(s) you met with them. If interested in doing one, let us know and we will contact you.

4.Have you met with any state legislators this year?

Yes

No

List their names and the date(s) you met with them below. If interested in doing one, let us know and we will contact you.

5.Have you recruited any CAP members to join PathNET? If so, please list the person's name.

6.Have you signed up for text alerts?

Yes

No

7.Would you like to be contacted to learn how to complete any of the PathNET grassroots activities?

Yes

No

8.Please provide us with your contact information

Name

Company

Address

City/Town

State/Province

ZIP/Postal Code

Email Address

Mobile Number