Elected Official Visit Report Form
Please fill out a visit report form after each visit. This is crucial information that will help us track elected officials who have learned about the issues and those who have not, as well as which members have connected with you.
Email address *
Name and Title of Elected Official
Your answer
Zip Code
Your answer
Your answer
Date Visited
Time Visit Start
Who was present at your meeting?
Name and Title of Staff Members Presenter
Your answer
Names and Contact Info for People on your Team
Your answer
Was the official supportive of including sexual orientation and gender identity in legislation?
Did the legislator express any reservations about adding sexual orientation and gender identity to legislation? If so, what were they?
Your answer
What questions did they ask?
Your answer
What would you suggest as next steps with this office? Other comments?
Your answer
A copy of your responses will be emailed to the address you provided.
Never submit passwords through Google Forms.
This form was created inside of PFLAG National. Report Abuse - Terms of Service - Additional Terms