Congressional Visit Report Form Print
Name(s) of individual or group:

Address:

City, State, Zip code:

Phone:

email:

Date of visit or call:

Did you meet with the Member of Congress?
_____ yes _____ no

What were the responses to your talking points? Were specific questions or concerns raised?




What was their position? What were the reasons given?




What were your specific asks? Did they make any commitments?




How would you rate your meeting, overall? Is this an office where you can follow-up?