2025 I&E Days Legislative Feedback Form

I&E Days 2025 Legislative Feedback Form

Please use this feedback form to capture key information and follow-up items from your meeting. Please complete one form for the entire group that attended the meeting.

"*" indicates required fields

Legislator/staff member name and district number.
Please list the names of each of the participants in the meeting.
What topics were discussed during the legislative meeting?
What follow-up information was requested by policymaker/staff?
How supportive is the policymaker/staff of tobacco prevention?
Which elements of the Legislative ASK did the legislator/staff agree to

This field is for validation purposes and should be left unchanged.