If you have time, we’d be grateful if you could complete some background information. This will help us find out if we are reaching all the people who would like to share their experiences. YOU can CHOOSE to send this information – YOU DO NOT HAVE TO COMPLETE THIS FORM.
It should take no more than 10 minutes to complete this form.
You can complete the online form by clicking on one of the links below, or you can download an Easy Read version by clicking on one of these boxes, then post it to:
Surviving through Story
If you would like to scan your completed form to us, please email it to: