MoANA Advocacy 2025 Meeting Log Notes
Event Timing: 2025 Session

Event Details: After meeting with your legislators, please include your meeting notes below so that your lobby team and Board can be the most impactful for YOU!

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Email *
Name (First AND Last, and credentials), i.e.: Daniel Jones, CRNA or Daniel Jones, SRNA, or Daniel Jones, DNP, CRNA *
I am a: *
Cell Phone Number (will only be used by MoANA team) *
Best Communication Tool.  *
Did you meet YOUR legislator this time? *
Topics Covered (mark all that apply): *
Required
Meeting report:
Clear selection
Legislator’s position on our bill:
Clear selection
Is the Legislator one of the following:
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Select Representative from the dropdown menu below. **** (If you didn't meet a Rep, this time, indicate below)
 *
Please fully discuss how the meeting went, any important topics discussed, any follow-up items for MoANA, etc.
 *
Did they ask for follow-up? What information did they ask for? If none, write "none." *
How long was the meeting? (e.g. 10 minutes, 30 minutes)
 *
Select the Senator you met from the dropdown below.  If you did not meet a Senator during this time, check that box).
 *
Please fully discuss how the meeting went, any important topics discussed, any follow-up items for MoANA, etc.
 *
Did they ask for follow-up? What information did they ask for? If none, write "none." *
How long was the meeting? (e.g. 10 minutes, 30 minutes)
 *
You will receive a confirmation email, should you not receive it, check your spam folder for "Google Form." 
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This form was created inside of Missouri Association of Nurse Anesthetists.