Request edit access
Gaza Advocacy Days: Lobby Visit Report
Please tell us about your lobby visits. Write N/A where you have no feedback.
Sign in to Google to save your progress. Learn more
Email *
1) Your Name *
2) Organizations Attending *
3) How did you meet?
Clear selection
4) Which Congressional office did you meet with? (include name, state & district) *
5) Who in the office did you meet with? (staffer name & position) *
6) Which of the four asks you made? Check all that apply. *
Required
7) What (if any) additional asks did you make?
8) Did you find out anything interesting about the MOC or staffer? What?
9) What (if any) questions did the MOC or staffer have about our issues? *
10) Has someone taken responsibility for writing a thank you/follow up email? *
If you have any pictures or videos from you advocacy efforts, please share them with us. Please label your images with the name of the Member of Congress (ex: Rep. Summer Lee, Sen.Sanders, Rep.Tlaib2)
Click here to share photos & videos
Thank you for your feedback and participation in April's Gaza advocacy days. We appreciate your hard work on this.
Together, we can make a change.
A copy of your responses will be emailed to the address you provided.
Submit
Clear form
Never submit passwords through Google Forms.
reCAPTCHA
PrivacyTerms
This form was created inside of Peace Action.

Does this form look suspicious? Report

Google Forms