You are here: Share your Story page breadcrumb navigation:Home / Share your Story page Share your Story!Share your Story!Thank you for volunteering to share your story with us. Stories like yours serve a vital role in raising awareness of the human impact of spinal cord injury. For more information on how we use your information, check out our Privacy Policy. Read other stories here Thank you for agreeing to share your story. Please note that by providing the information below, you will be agreeing to Spinal Research sharing your story on our Website, social media channels, newsletter and possibly in printed materials. We may not be able to share every story sent to us. Connection to SCI Please tell us about your connection to spinal cord injury (required) I have a spinal cord injury A friend or family member has a spinal cord injury Personal Details Title - Select -MrMrsMsMissDr First Name (required) Surname (required) Email (required) Confirm email (required) Phone number Share your story with us What is the level of injury? (Shift-click to select multiple) C1C2C3C4C5C6C7C8T1T2T3T4T5T6T7T8T9T10T11T12L1L2L3L4L5S1S2S3S4S5Coccygeal Is the injury complete/incomplete? Complete Incomplete When did the injury occur? Day Day12345678910111213141516171819202122232425262728293031 Month MonthJanFebMarAprMayJunJulAugSepOctNovDec Year How did the injury happen? (required) Looking to the future What areas of function are you most interested in improving? (required) Leg Hand and arm Bladder and bowel Sexual function Breathing Pain management Temperature regulation Blood pressure regulation Reduced spasticity Other... What areas of function are you most interested in improving? Other... How would improving these functionalities help your day to day life? (required) Do you have a message for the spinal cord injury community? (required) Are you interested in fundraising for Spinal Research? (required) Yes No Are you interested in finding out about becoming a Spinal Research Ambassador? (required) Yes No Keeping in Touch Are you happy to be contacted by a member of our team to discuss your story further? (required) Yes No Keeping in Touch We would love to keep you updated with our latest research projects, news, fundraising activities and ways to get involved. Please keep me up to date by phone Please keep me up to date by email Please keep me up to date by SMS PhotosPlease send any supporting photos that you would be happy for us to share to community@spinal-research.org Leave this field blank To update your contact preference email info@spinal-research.org or call 02038 247400. Read about our Privacy Policy here. Privacy Policy NewsletterWe can keep you up to date with our work, the latest research developments, and ways you can help change the future of spinal cord injury. Sign up
