Alabama Disabilities Action Coalition
Legislative Visit Evaluation
 (Please complete one form for each visit)

Please turn in forms by the end of the day at the drop off boxes located on the 2nd and 6th floors. Otherwise, mail to: NMSS, 3840 Ridgeway Drive, Birmingham, AL 35209, ATTN: Shannon Weston. Fax: 205-879-8869.

Whose office did you visit? Circle one
Senator / Representative___________________________________________

With whom did you meet? Circle one: Member / Staff___________________

Did the Member/Staffer indicate a position on the following issues:
(Turn page over for additional comments if needed)

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