TO SHARE YOUR STORY
If you are a patient, caregiver, family member or anyone else who has been impacted by pancreatic cancer, please fill out the form below to share your story.
"*" indicates required fields
STORY BACKGROUND
Please submit your story in English.
WHAT'S YOUR NAME?
Please tell us your name as story teller.
WHICH WPCC ORGANISATION ARE YOU SUPPORTING?
Please select from the drop down list.
WHO IS YOUR STORY ABOUT?
Please share the name of a patient, caregiver, family member, friend, or healthcare professional.
WHEN DOES YOUR STORY TAKE PLACE?
During what timeframe?
If the time frame is important for your story, please specify here. If not applicable, please leave blank.
HOW WAS PANCREATIC CANCER DISCOVERED?
THE IMPACT OF TIME
WHAT CAN YOU SHARE ABOUT THE VALUE OF TIME RELATED TO PANCREATIC CANCER? FOR EXAMPLE...
YOUR UNIQUE STORY
EVERYONE’S STORY IS PRECIOUS, SO PLEASE FEEL FREE TO SHARE ANYTHING ELSE YOU WOULD LIKE.
UPLOAD PHOTOS OR A VIDEO
Please check box on the left to confirm that WPCC may edit and share your story on the WPCC website, social media channels and other digital media. You may review our privacy policy here.
Your story will be shared during the WPCD 2022 Campaign starting Nov. 2nd.
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