Legislative Visit Evaluation Form

Submitted by amanda on Wed, 03/09/2011 - 3:08pm

Thank you for your work. By completing this form, you will help us track citizen advocacy in Texas, making us more effective in our shared work. If you have any questions or need assistance, please call (512) 472-3903 or e-mail Cara.

Your Name (first and last): *

Your E-Mail Address:

Address (city, state and zip):

Phone number:

Date of Visit: *

Legislative Office Visited: *

Names of People in the Meeting: *

Issues Discussed: *

Specific Requests of the Office, if any:

Any Follow-up Needed by Anyone?:

What was your goal? (e.g.: introduce Texas Impact to the member; find out the member's position on an issue; lobby a vote; etc.):

Did you get what you came for? (Yes, No, or Not Sure. Please explain.):

What did you learn about the person you talked to?:

What did you talk about in the meeting?:

What new information about the issue or legislation did you learn from your visit?:

What information would have made your visit more successful?:

Based on your visit, is there any follow-up that Texas Impact should do with this legislator or on this issue? If so, what?:

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Legislative Visit Evaluation Form