IMpact: Survey of the Profession

1.First Name:(Required.)

2.Last Name:(Required.)

3.Email:(Required.)

4.Phone Number:

5.Business/Organization Name:

7.Please select your US state or territory of legal residence: (Where you are registered to vote)(Required.)

10.Please select the response that best fits your position on the IMpact:(Required.)

I support the IMpact.

I support the IMpact: I plan to get a multistate license as soon as possible.

I support the IMpact: I may get a multistate license at some point.

I support the IMpact: I don't know that I will get a multistate license, but I can see how it would benefit others.

I am unsure and still need more information. (Please use the comment box to explain.)

I do not support the IMpact. (Please use the comment box to explain.)

Other: (please explain)

11.There are many ways you can help enact the IMpact in your state, please check all the areas you are willing and able to assist in this effort:

I will help get sponsors for the bill and work the process through to completion.

I will testify in hearings on the IMpact bill at my state capital. I understand that hearings may come with short notice and I am willing and able to get to the capital quickly.

I will help coordinate the efforts in my state.

I will write letters/make phone calls to Legislators in my state supporting the IMpact.

I will post IMpact facts and information on various massage related social media pages in my state so that therapists have as much access to accurate information as possible.

I will reach out to my Senator and Representative to let them know of my support and make sure they have all the information they need.

I will spread the word within my massage network.

Other (If you have other ideas on how you can help support the compact please share that here)

12.Please list any other comments or questions here: