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Post-Meeting Response Form
Thank you for meeting with your elected official! Give us your feedback. How was your visit with your Member of Congress?
Email address *
Which office did you visit? *
Your answer
When was your meeting? *
MM
/
DD
/
YYYY
Was the Member of Congress in the meeting? *
What is the name/position of the staffer in attendance? *
Your answer
What did you ask the Member to do? (include bill numbers) *
Your answer
How did the office respond? Be as detailed as possible. *
Your answer
What remaining questions do you have for the office?
Your answer
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