State Legislator Pre-Interview Form
Note: The responses to the prompts below may be posted on the website and/or social media pages of the American Opioid Project, in whole or in part. Due to limited slots, completing this form does not guarantee an audio interview. Further questions about the interview process can be directed to Jamal Khan at jkhan@jd13.law.harvard.edu.
Email address *
Name *
Your answer
State *
Your answer
Title (e.g., Representative, Delegate, Senator, House Majority Leader) *
Your answer
District *
Your answer
Briefly, how would you describe the opioid crisis in your state? *
Your answer
What are the two or three most significant bills that have been introduced in your chamber to help alleviate the opioid crisis in your state? *
Your answer
What was your involvement, if any, in those bills (e.g., introduction, advocacy, vote pledge)?
Your answer
Have any of the bills passed? If not, why? *
Your answer
What was the most memorable experience you had while learning about the opioid crisis in your state? *
Your answer
If you had a magic wand that allowed you to pass any legislation you wanted in order to help alleviate the opioid crisis in your state, what would that legislation look like? *
Your answer
Are there any additional thoughts you would like to share?
Your answer
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