Legislator Visit Feedback Survey

Please give us any feedback that you received from your visit with either the legislator or their staff on issues that you discussed.

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* 1. Appointment Date/Time

Date / Time

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* 2. Was this a Senate or House member visit?

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* 3. Did you talk to the member or their legislative assistant

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* 4. Who was with you when you visited this office?

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* 5. Which bills did you talk about?

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* 6. Please share any comments from the legislator or the legislative assistant.  Include whether they were for or against an issue

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* 7. Please provide us your contact information

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