TOWN HALL/OFFICE VISITS REPORT BACK FORM
Please tell us how your town hall event or office visit went while Congress is on recess between February 17 - 26.
Sign in to Google to save your progress. Learn more
Email *
First Name *
Last Name *
City *
State *
Name of Senator's or Representative's office or town hall you attended *
*Please specify Senator or Representative, such as Senator Durbin or Representative Kelly
What type of event did you attend? *
How many people attended the event (approx. ok)? *
If you know how many OFA people were in attendance with you, please let us know that too!
If you did an office visit, were you able to speak to the senator or representative or staff member? *
If yes, please provide a short summary of the conversation.
If you attended a town hall, was the senator or representative in attendance? *
If yes, were you able to ask a question? What was it and how did your senator or representative respond?
Was there press? *
If yes, which ones?
Which coalition partners attended, participated in or helped plan your events? *
Please provide links to tweets, Facebook posts and photo albums from your event here. Tweets and Facebook posts with photos are very useful. *
Anything else to share?
Submit
Clear form
Never submit passwords through Google Forms.
reCAPTCHA
This form was created inside of Organizing for Action. Report Abuse