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Name
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First
Last
Email
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Meeting 1 – Name of Representative or Staff you met with.
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How did Meeting 1 go? Did your Representative have any questions concerning the legislation?
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Will the Representative from Meeting 1 support NBS SB145/AB206 and/or Cole's Act SB203/AB173
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Yes, Newborn Screening
No, Newborn Screening
Undecided, Newborn Screening
Yes, Cole’s Act
No, Cole’s Act
Undecided, Cole’s Act
Explain why the Representative from Meeting 1 will not support the bill or is undecided.
Did your Representative from Meeting 1 have a connection to rare disease or any information that you think would be helpful?
Meeting 2 – Name of Representative or Staff you met with.
*
How did Meeting 2 go? Did your Representative have any questions concerning the legislation?
*
Will the Representative from Meeting 2 support NBS SB145/AB206 and/or Cole's Act SB203/AB173
*
Yes, Newborn Screening
No, Newborn Screening
Undecided, Newborn Screening
Yes, Cole’s Act
No, Cole’s Act
Undecided, Cole’s Act
N/A – No 2nd Meeting
Explain why the Representative from Meeting 2 will not support the bill or is undecided.
Did your Representative from Meeting 2 have a connection to rare disease or any information that you think would be helpful?
Meeting 3 – Name of Representative or Staff you met with.
*
How did Meeting 3 go? Did your Representative have any questions concerning the legislation?
*
Will the Representative from Meeting 3 support NBS SB145/AB206 and/or Cole's Act SB203/AB173
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Yes, Newborn Screening
No, Newborn Screening
Undecided, Newborn Screening
Yes, Cole’s Act
No, Cole’s Act
Undecided, Cole’s Act
N/A – No 3rd Meeting
Explain why the Representative from Meeting 3 will not support the bill or is undecided.
Did your Representative from Meeting 3 have a connection to rare disease or any information that you think would be helpful?
Meeting 4 – Name of Representative or Staff you met with.
*
How did Meeting 4 go? Did your Representative have any questions concerning the legislation?
*
Will the Representative from Meeting 4 support NBS SB145/AB206 and/or Cole's Act SB203/AB173 (copy) (copy) (copy)
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Yes, Newborn Screening
No, Newborn Screening
Undecided, Newborn Screening
Yes, Cole’s Act
No, Cole’s Act
Undecided, Cole’s Act
N/A – No 4th Meeting
Explain why the Representative from Meeting 4 will not support the bill or is undecided.
Did your Representative from Meeting 4 have a connection to rare disease or any information that you think would be helpful?
Meeting 5 – Name of Representative or Staff you met with.
*
How did Meeting 5 go? Did your Representative have any questions concerning the legislation?
*
Will the Representative from Meeting 5 support NBS SB145/AB206 and/or Cole's Act SB203/AB173
*
Yes, Newborn Screening
No, Newborn Screening
Undecided, Newborn Screening
Yes, Cole’s Act
No, Cole’s Act
Undecided, Cole’s Act
N/A – No 5th Meeting
Explain why the Representative from Meeting 5 will not support the bill or is undecided.
will or will
Did your Representative from Meeting 5 have a connection to rare disease or any information that you think would be helpful?
Any other general comments about your experience today?
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