1. With whom did you meet? Please note the legislator’s name and the name(s) (first and last) and position of the staff with whom you met.
Staff First Name: ____________________ Last Name: ______________________
Staff Member’s Position: _______________________________________________
2. What was the topic of discussion? Was there a specific ask? If so, what was the response?
3. Were there any questions you need to follow-up? If so, please list.
4. What is your plan for follow-up?
5. Did the legislator or his/her staff mention a personal connection to breast cancer? If yes, please explain.
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