Please complete the following form. If you have any questions, about the form, contacting your federal candidates or other issues related to OPEN, please contact Bianca Rogers at brogers@carequest.org.

The following fields are required:

• Number of candidates you engaged

• List of Actions completed. Select all the apply.

The following fields are optional but we'd also love to hear:

• Your experience engaging in this election

• If you need any follow up support