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* 1. First name

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* 2. Last name

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* 3. Organization name

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* 4. In what COUNTY is your organization based?

For example, if you're based in Wilmington, please enter New Hanover; if you're based in Mocksville, please enter Davie.

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* 6. How confident do you feel in your ability to have an effective conversation with policymakers?

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* 7. How likely are you to use the following types of resources in the next month to help you gain greater confidence in your ability to have an effective conversation with your state representative or state senator?

  I wouldn't use it It's unlikely I would use it It is somewhat likely I would use it I'm likely to use it I'll be there as soon as it's available!
A worksheet to help me prepare for a conversation with a policymaker
A blog post with insights about why and how to have effective conversations with policymakers
A training webinar where participants learn how and why to have conversations with policymakers
A video where participants learn why and how to have conversations with policymakers
A one-on-one or small-group coaching session where participants get to practice having a conversation with lawmakers about a legislative priority for the nonprofit sector

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* 8. Do you have an existing relationship with any members of the NC General Assembly? If so, please list by name.

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* 9. What is the best email address for us to send you a follow up?

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* 10. If we can't reach you by email, what phone number may we use to follow up?
Tpyos happen! :-) Providing a phone number ensures we have another way to reach back to you.

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* 11. If you have any further comments, you can use the space below.

Thank you so much for taking this survey!

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