Optometry Day Meeting Feedback
Thank you for participating in Optometry Advocacy Day and supporting our profession!

We want to hear your feedback so we can follow up with the various legislators you met with. Please make sure at least one person from your Group submits a feedback form for each of the meetings you had on Tuesday, April 17.

Email address *
Your answer
Legislator and/or staff member's name
Your answer
Does the legislator support the NYSOA's position on the Orals Bill?
Is the legislator willing to become a sponsor of the Orals bill (if not on the bill already)?
Should the NYSOA follow up?
Your answer
A copy of your responses will be emailed to the address you provided.
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service