Your Name (required)
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Subject
1. What is the purpose of your meeting request?
Currently unemployedEmployed, but seeking position in health care or on Capitol HillCareer guidance/general networkingInterest in political opportunities to support GOP WomenHC-XXOther (please specify)
2. How long have you been in Washington?
Just moved here0-2 years2-5 years5+ years
3. If interested in health care, where would you most prefer to work?
Congressional officeCongressional committeeTrade associationCompanyLobbying/consulting firmThink tank/policy researchWall Street/political intelligence
4. What did you study in college?
Something health care relatedPolitical science and/or historyOther
