Reportback on your legislative meeting

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Which senator's office did you meet with? (Note: if you met with more than one senate office, please fill this form out separately for each meeting)

Tell us about your meeting. Who was there? Who did you talk to? Was anything surprising?

Will your senator oppose repealing the Affordable Care Act?

Yes

No

Don't know yet

Do you feel that this in-person meeting was an effective way of getting the message about the Affordable Care Act to your senator?

Yes

Somewhat

No

Did you feel prepared to participate in this meeting?

Yes

Somewhat

No

Would you be interested in hosting UltraViolet events (like demonstrations, protests, petition deliveries, or house parties) in the future?

Yes! Definitely.

Maybe. It depends on the type of event.

No

On a scale from 1-10 (1 = awful, 10 = awesome), how would you rate this experience?

Anything else you'd like to share?

UltraViolet