2014 Spring Home District Week Feedback
Capital Region NY Chapter

 
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1. Which NYS Senator's office did you contact?
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2. How did you contact them?
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3. Which NYS Assembly office did you contact?
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4. How did you contact them?
5. Was there a specific staff person that you communicated with?
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6. Did you share your personal story?
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7. Are they supportive of suicide prevention?
8. Did you discuss any specific suicide prevention issues?
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9. Are there any issues that we should follow up on?
10. This survey is anonymous. However, if you would like to have your name entered for a chance to win an overnight stay at The Great Escape Lodge and Indoor Water Park (a $199 value), please provide the following information:
Thank you for your feedback and thank you for participating in this Capital Region AFSP Home District Week initiative!
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