Tell us Your Story

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We’d be honored to hear your story and share it to spread the word about our life-saving mission. Your experience can make a real impact and inspire others. By allowing us to share your story on our website, in newsletters, and during presentations, you can help us raise awareness and showcase the incredible work of our charity.

Please take a moment to complete the form below. The more details you provide, the better we can bring your story to life. We’re eager to hear from you and share your remarkable journey with our community.

Tell your story

Name(Required)

First Last

Email(Required)

Phone

What was the date of your incident?

If you can't remember the exact date please choose a day close to the date. (This helps locate your records)

If you feel comfortable could you tell us briefly about your incident

If you would like to share your story or thanks into 2 or 3 sentences what would you say?

Would you have any photos we could use?

Yes

Marketing Preferences

Yes please, I would like to receive communications by email

We’d love to keep in touch with you about the incredible difference we are making together, our fundraising appeals and other activities you may wish to get involved in. You may hear from us by post or telephone but we’d love contact you in other ways too. We’ll continue to contact you in the same ways as we did before, unless you indicate change above. You can update your preferences at any time by calling 01634 471 900 or at hello@aakss.org.uk. We’ll never sell your data and we promise to keep your details safe and secure. Read more in our Privacy Statement here: aakss.org.uk/privacy

We may contact you for permission to share your story or for more information. We will not use anything you share on this form publicly until we have spoken to you. This form goes directly to our Patient and Family Aftercare Team.