Meeting Feedback Form

Chapter
What event did you attend?
First Name
Last Name
Non-edu. Email Address
Name of legislator you spoke with
Date of Meeting
Which did you meet with?	Legistlator Staff Member
Names of UUP members in attendance
Topics discussed in meeting?
How supportive was the legislator of UUP's position? 1= Not Supportive 5= Very Supportive	1 2 3 4 5
Comments regarding position of support
Did the legislator request any additional information related to the issues discussed? If so, how do you plan to provide them with the requested information?
Fundraiser: Topics of discussion networking with other organizations
Additional comments about this meeting

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