Share Your Story

We invite you to share your story with us. Every story is important and in sharing we can hopefully raise awareness and promote research, education & prevention efforts.

To share your story please complete this form.  This survey service is provided by the Star Legacy Foundation, a Co-Founding organization of the ASAP Coalition.  You will be redirected to a page on the Star Legacy Foundation website.

What will we do with these stories?  Often times it is helpful to be able to share stories with the community at large or researchers and clinicians to simply raise awareness and illustrate the depth and bredth of what we know occurs multiple times each day.

Please be assured that your story will not include your name or contact information when it is shared. If you have any special requests you can add them in the comments section. We wish you hope and healing…….

If the survey link above does not work, please copy and paste this url address into your browser: