Request edit access
Have you been impacted by the federal funding cuts?

I want to hear directly from Rhode Islanders about how these careless decisions to freeze federal funding have impacted YOU and any worries YOU have about potential future cuts.


Residents of Rhode Island’s 2nd Congressional District may share their stories by using the form below.
Sign in to Google to save your progress. Learn more
Name  *
Email  *
Cell Phone *
Zip Code  *
Organization (if applicable)
How have you been impacted by the federal funding freeze, and/or how will you be impacted by potential cuts to federal funding and programs?  *
By filling out this form, you consent the Office of Rep. Magaziner to contact you in the future.
Do you give permission to the Office of Representative Seth Magaziner to share your story publicly? (Note: First and last names and contact information will not be shared publicly). *
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of Office of Representative Seth Magaziner.

Does this form look suspicious? Report

Google Forms