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* 1. Your Details

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* 2. Did you meet with an MP, MLC or candidate?

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* 3. What is the MP, MLC or candidate's name?

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* 4. What is the MP, MLC or candidate's electorate?

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* 5. What was the date of your meeting?

Date / Time

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* 6. In what capacity were you meeting?

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* 7. Rate the MP, MLC or candidate's level of interest in our campaign issues

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* 8. What was your ASK of the MP, MLC, or candidate?

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* 9. Did the MP, MLC, or candidate commit to doing something about the issue?

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* 10. Please note any interesting points or questions the MP, MLC or candidate made about the issue, or anything else discussed at the meeting

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* 11. Did you, the politician, or their staff take any photos at the meeting?

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* 12. Did the MP, MLC or candidate raise any questions that you were unable to respond to and which require follow up from NSW Disability Advocacy Alliance? If so, please provide details

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* 13. How would you rate your relationship with your MP at this point in time?

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