Use this evaluation survey to let TNA staff know about a meeting you had with a legislator or legislative staff member as part of the Virtual Day on the Hill, "Every Legislator Needs an RN" legislative pairing program, an Action Alert or another situation. 

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* 1. Your contact information:

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* 2. Which legislator did you meet with?

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* 3. Did a legislative staff member or anyone else attend this meeting other than a nurse or TNA staff member?

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* 4. Did another nurse or a TNA staff member attend the meeting with you? (Yes, we would like everyone who attended the meeting to fill out a separate survey.)

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* 5. When did you meet with them?

Date

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* 6. Have you met with this legislator before?

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* 7. Why did you meet with them:

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* 8. How/Where did you meet with them?

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* 9. Did you discuss Full Practice Authority SB176/HB184 with them? What was their response?

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* 10. What issues did you discuss with the legislator?

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* 11. Did you ask them for a specific vote on a specific piece of legislation? If so, which legislation and what was their response?

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* 12. Were any commitments made by the legislator?

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* 13. Did they ask you for any specific information:

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* 14. How receptive were they to TNA, our positions, our information, or requests?

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* 15. Did they mention if they have any connections to any medical professionals? For example: their partner a nurse; they have a child in nursing school; they have a sibling that is a doctor;

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* 16. Is there anything else TNA needs to know about your meeting?

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