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 Connection to SCI Please tell us about your connection to spinal cord injury (required) I have a spinal cord injury A family member has a spinal cord injury A friend has a spinal cord injury Personal Details Title - Select -MrMrsMsMissDr First Name (required) Surname (required) Address Date of Birth (required) Day Day12345678910111213141516171819202122232425262728293031 Month MonthJanFebMarAprMayJunJulAugSepOctNovDec Year Year192319241925192619271928192919301931193219331934193519361937193819391940194119421943194419451946194719481949195019511952195319541955195619571958195919601961196219631964196519661967196819691970197119721973197419751976197719781979198019811982198319841985198619871988198919901991199219931994199519961997199819992000200120022003200420052006200720082009201020112012201320142015201620172018 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 Year1933193419351936193719381939194019411942194319441945194619471948194919501951195219531954195519561957195819591960196119621963196419651966196719681969197019711972197319741975197619771978197919801981198219831984198519861987198819891990199119921993199419951996199719981999200020012002200320042005200620072008200920102011201220132014201520162017201820192020202120222023 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 enhance quality of life? (required) Are you interested in participating in clinical trials? Yes No Are you interested in fundraising in your community and would like advice on ways to do that? (required) Yes No Do you have a message for the spinal cord injury community? (required) Keeping in Touch 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 Are you happy to be contacted by a member of our team to discuss your story further? (required) Yes No We may share your story on our website, in our newsletters and on our social media channels. With your consent, we will also use this information as part of our campaigns to fund our life-changing research. Are you happy for us to do so? (required) Yes No 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
