NSW Disability Advocacy Alliance MP meeting feedback Question Title * 1. Your Details Your name Your email Your mobile number OK Question Title * 2. Did you meet with an MP, MLC or candidate? Member of the Legislative Assembly Member of the Legislative Council (MLC) Candidate OK Question Title * 3. What is the MP, MLC or candidate's name? OK Question Title * 4. What is the MP, MLC or candidate's electorate? OK Question Title * 5. What was the date of your meeting? Date / Time Date OK Question Title * 6. In what capacity were you meeting? Representative of the Campaign Steering Committee Representative of a member organisation Individual with disability Family member of a person with disability Carer of a person with disability Other (please specify) OK Question Title * 7. Rate the MP, MLC or candidate's level of interest in our campaign issues Strongly disinterested Disinterested Neutral Interested Strongly interested OK Question Title * 8. What was your ASK of the MP, MLC, or candidate? Raise the issue with the Premier Ask a question in Parliament Talk about the campaign in the media Take a photo with #StandByMe campaign collateral Discuss the issue in the party room Pledge support for the #standbyme campaign Other (please specify) OK Question Title * 9. Did the MP, MLC, or candidate commit to doing something about the issue? Yes No OK Question Title * 10. Please note any interesting points or questions the MP, MLC or candidate made about the issue, or anything else discussed at the meeting OK Question Title * 11. Did you, the politician, or their staff take any photos at the meeting? Yes No If Yes, what was the photo of? (If you’re happy for us to use this to promote our work, please email it to admin@standbyme.org.au) OK Question Title * 12. Did the MP, MLC or candidate raise any questions that you were unable to respond to and which require follow up from NSW Disability Advocacy Alliance? If so, please provide details OK Question Title * 13. How would you rate your relationship with your MP at this point in time? Very good Good Fair Poor Very poor Please explain why you chose your rating OK DONE