1.  Meeting Room                                                       1       2       3       4       5

2.  Bus Transportation (if applicable)                   1       2       3       4       5

3.  Food                                                                        1       2         3       4       5

4.  Availability of GLHF staff                                   1       2          3       4       5

5. On a scale of 1 through 5 the overall program was:

    1                        2                     3                     4                      5

  Not at all                Not very             Somewhat               Very                 Extremely

  Valuable               Valuable              Valuable              Valuable              Valuable

6.  On a scale of 1 through 5, please rank the trainings presentations (Presenters were: knowledgeable, easy to follow, prepared, etc.):

       1                     2                      3                      4                        5

       Poor                    Fair                    Good                Very Good             Excellent

7. The training increased my understanding of advocacy:

      1                      2                      3                   4                    5

   Not at All              Not Much              A little           A Good Amount            A Lot            

8. Did the training prepare you to speak with your representatives?          

       1                   2                       3                  4                   5

        No                                                 Maybe                                                   Yes

9.  Were your local representatives receptive to your meeting/discussions?

        1                  2                       3                      4                        5

        No                                                 Maybe                                                   Yes

10.  I would recommend the GLHF Legislative Day:

      1                      2                      3                  4                   5

        No                                                 Maybe                                                   Yes                                              

11.  What additional resources/materials would you have liked during the training?

12. Any other comments:

13. (Optional):  Please take a moment to compose a testimonial statement that reflects the impact GLHF programs and
services have made in your life. You can talk about the program you just attended, or in general about GLHF programming 
that has benefited you and your family.

 Thank you for your comments!

A representative of GLHF may follow up with you in the

next month for additional feedback.