Congressional Visit Evaluation Form

If you have recently met with a Member of Congress or their staff about a childhood cancer issue, please take a moment to capture meeting highlights with us. This information will remain confidential within Children's Cause staff and serves to help us improve our advocacy and refine our own work with these offices. Thank you for taking the time to share your story and our shared cause with lawmakers who have the power to create meaningful change for our kids.

Your Name *
Your Name
Your Address *
Your Address
Your Phone (optional)
Your Phone (optional)