You can help us help other children in the future!  We would love it if you can tell us a bit about what Maria did and how she helped you.  Please tick the boxes that match what you feel and write some things about Maria, or draw a picture, to show how much help she has given you and your family.

You can do it by yourself, or you can ask someone else to help you.  If you want your parents or an older brother or sister to help you fill in this form they can.  If you would like Maria to help you, that's OK too!