California Legislative Survey

Thank you for meeting with your state legislators to voice your opposition to SB 277.  Your feedback will help us focus our efforts to stop this attack on our personal belief exemption to mandatory vaccines in California.

If you are uncertain about your legislative district number, go to http://www.legislature.ca.gov/legislators_and_districts/legislators/your_legislator.html and click on the Search By Address link to display a form where you can enter your address. If you are logged in to the NVIC Advocacy Portal, click on the "State Teams" tab and then on "My State" to see your legislators and links to their contact information automatically displayed. 

For each legislative visit, please convey the following information. Provide the name of your state legislator, the date of your meeting, and the name of the person you met with so we can know whether it was a staff member or the legislator themselves. If it was a staff member, please indicate their title next to their name.  Were you able to determine your legislator’s position on the bill? Please include any other notes that you think may be helpful for us. This could include if they requested any additional information or whether they were sympathetic or not to personal stories of vaccine injuries. 

To submit more than one survey for a different legislator meetings, you can update the form again after each submission to submit another. 

Thank you!

Enter your first and last name
Enter your city of residential address
Enter your zip code for your residential address
Enter your preferred phone or cell number if we need to contact you
Enter you email address if we need to contact you
Enter the date of your meeting or phone call with your legislator or staff member
Select the type of office of your legislator (Assembly, Senate, or other)
Enter the full name of your legislator (no need for the Representative or Senator prefix)
Enter your legislative district number. You can go to go to http://www.legislature.ca.gov/legislators_and_districts/legislators/your_legislator.html and click on the By Name link to display a form where you can enter the last name of your legislator.
Enter the full name of the person in the office that you met with
Enter the bill number that you discussed with legislator
Enter the legislator's position on the bill
Enter any other notes that you think may be helpful for us. This could include if they requested any additional information or whether they were sympathetic or not to personal stories of vaccine injuries.