2017 RESULTS Global and U.S. Lobby Report Form
Fill out this form when you meet face-to-face with a member of Congress or a congressional aide. (And then congratulate yourself on an advocacy job well done!) (If you have questions, contact Lisa Marchal at lmarchal@results.org for global poverty meetings or Jos Linn at jlinn@results.org for U.S. poverty meetings.)
Date of your meeting
MM
/
DD
/
YYYY
What is your group's name, or are you a free agent?
Your answer
Who is your Regional Coordinator?
Your state
What is the name of the member of Congress with whom you met?
Who was in the meeting?
What are the names of any aides with whom you met?
Your answer
What issues were covered in this meeting?
How would you assess the member of Congress based on this meeting?
What was the FIRST ISSUE you covered in the meeting?
Your answer
What was the office's response to the FIRST ISSUE?
Your answer
How and when will you follow up on the FIRST ISSUE?
Your answer
What was the SECOND ISSUE you covered in the meeting?
Your answer
What was the office's response to the SECOND ISSUE?
Your answer
How and when will you follow up on the SECOND ISSUE?
Your answer
Who is making this report?
Your answer
What is your email?
Your answer
What is your phone number?
Your answer
Did a current REAL Change fellow attend your meeting?
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