NSW Disability Advocacy Alliance MP meeting feedback

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* 1. Your Details

Your name

Your email

Your mobile number

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

Member of the Legislative Assembly

Member of the Legislative Council (MLC)

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

Date

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* 6. In what capacity were you meeting?

Representative of the Campaign Steering Committee

Representative of a member organisation

Individual with disability

Family member of a person with disability

Carer of a person with disability

Other (please specify)

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

Strongly disinterested

Disinterested

Neutral

Interested

Strongly interested

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

Raise the issue with the Premier

Ask a question in Parliament

Talk about the campaign in the media

Take a photo with #StandByMe campaign collateral

Discuss the issue in the party room

Pledge support for the #standbyme campaign

Other (please specify)

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

Yes

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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?

Yes

If Yes, what was the photo of? (If you’re happy for us to use this to promote our work, please email it to admin@standbyme.org.au)

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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?

Very good

Good

Fair

Poor

Very poor

Please explain why you chose your rating