Share your story
If you are living with a brain disease, disorder, or injury (or a carer to someone living with one of these conditions), sharing your story can help to raise awareness.
Please fill out this form if you are interested. We will get back to you as soon as we can.
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How have you been affected by a brain disease, disorder, or injury? *
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What condition are you/your loved one living with? *
Tell us a bit about your experience & what you would like to share *
This is just so we know a bit more about you when we get in touch - feel free to include as much or as little detail as you'd like. 
First name *
Last name *
We only need your last name for internal use - you can choose to remain anonymous in the published story. 
Email address *
Phone number
Would you like to receive news & updates from the Brain Foundation? (via email)
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