PAN August Recess Report Form

 
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1. Your Name:
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2. Your e-mail/contact information:
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3. August Recess Activities Completed (check all that apply)
FOR MEETINGS
4. Met with (Name):
5. Member of Congress (Name):
6. Meeting Date:
7. Was the Member/staff supportive of protecting biomedical research?
8. Did the Member/staff express any personal connection with Parkinson’s disease and/or another neurological disorder? If yes, what was the connection? Any other notes?
9. Did the Member/staff request any additional information or does anything you discussed in the meeting require follow-up from PAN staff to the Member’s office?
10. Did any other issues arise in your meeting?
FOR LETTERS TO THE EDITOR
11. Was your Letter to the Editor published?
12. If yes:
FOR TOWN HALL MEETINGS
13. Did you attend an in-person or tele-town hall meeting?
14. Were you able to ask if your Member supports biomedical research funding?
15. Did your Member express support for biomedical research funding?
16. Did any other issues arise in the town hall meeting? Please explain.
OTHER
17. Other actions taken? Please explain.
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