Legislative Visit Feedback Form

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Please provide the following information regarding your recent legislative visit.

First Name *		Last Name *
Date of Meeting *Format: MM/DD/YYYY		Name of Legislator *
Name of the person met with *		Who is the principal staff member in the office for the issue
With whom did you meet? *
Was the Legislator/Staff aware of TNP? *	Yes No	Was the Legislator/staff aware of NP autonomy? *	Yes No
What is the position of the Legislator *
What are the Legislator's concerns with the issue? *
What has your legislator heard about the issue? *
Follow-up needed from *
Please rate the usefulness of the meeting *
Additional Comments

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