District Office Contact Feedback

First Name(required)

Last Name(required)

Email(required)

Phone(required)

Legislator's First and Last Name(required)

District Type(required)

Senate Assembly

District Number(required)

In which city was the district office you contacted?(required)

Is this legislator your own representative?(required)

Yes, I am a constituent of this legislator No, I am not a constituent of this legislator

I introduced myself as…

myself my family my homeschool group

Homeschool group name

How did you contact the legislator?(required)

I met my legislator or their staff during an in-person meeting I had a virtual meeting with the legislator or staffer I had a phone appointment with the legislator or staffer I called the district office briefly I sent a Letter of Introduction Other

If you chose "Other" above, please indicate how you contacted the legislator.

If you met with a legislator's staff member, what is their first and last name?

If applicable, how was the reception of the legislator or staffer?

Warm Neutral Cold

If applicable, how long did you talk to your legislator or their staffer? (e.g. 10 minutes)

Comments (please give as much detail about your contact as you can).

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