Your Contact Details
Which best describes you?
Person experiencing/in recovery from ED
Carer/Loved One
What areas of the Lived Experience Community are you interested in participating in?*
Focus groups / consultations / round tables
Article / blog / website content
Media
Submit your story to EDV website
First Name
Last Name
Phone Number
Email Address
Postcode
Birth Year
You must be over 18 years of age
Gender
Please select...
Man
Woman
Non-Binary/Gender Queer
Transgender
Gender Fluid
Gender Non-conforming
Not listed / Other
I do not wish to disclose
Gender (if not listed / other)
What eating disorder/s did you or your loved one experience?
Anorexia Nervosa
Atypical Anorexia
Bulimia Nervosa
Binge Eating Disorder
ARFID
Pica
Rumination Disorder
OSFED
Please expand on your OSFED diagnosis:
Your Story
Above you identified that you would like to share your story on the EDV website. Please include these details below.
Story Title
Please insert your story here, or, you can upload it below
Attach story
Attach an image/photo (optional)
Would you like your first name or a pseudonym used?
Name
Pseudonym
Before You Submit:
Please tick the following:
Yes, I agree to EDV contacting me via email regarding opportunities for participation
How did you hear about EDV?
Google
GP/other health professional
Social media
Family/friend/colleague
Other
Contact Information