Share Your Experience 

The Eating Disorders Coalition (EDC) is collecting stories on individuals’ or loved one's experience with an eating disorder.

The stories will be used anonymously to help inform Congress on the importance of passing eating disorders legislation and the need for eating disorders to be a public health priority in the United States.

Stories may also be shared anonymously on EDC social media, website, or in EDC's monthly newsletter.

NOTE: If you prefer to submit a quote anonymously, that is absolutely fine! Just fill out the story section and leave the name and email question blank. 
Sign in to Google to save your progress. Learn more
First Name
Last Name 
Share Your Story *
Would you like your story to be anonymous?
Clear selection
Email 
Home State *
Age  *
Gender *
Any additional information you would like to share?
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy