Thank you for taking time to complete this form. This information will help us greatly in outreach to Florida Legislators.

PLEASE complete a separate form for EACH legislator you have met with.

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* 1. Overall, how would you rate your appointment with this Legislator?

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* 2. Tell us who you met with.

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* 3. Which of the following did you discuss during your meeting? Check all that apply.

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* 4. Of all topics discussed, what seemed most important to the Legislator?

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* 5. Do you need FLA staff or Advocacy Committee to follow up directly with Legislator or staff?

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