Share your story

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We would love to hear your story to help raise awareness of brain injury. Just complete the form below and we will contact you if we require more details.

Please note that due to the high volume of stories we receive, we cannot guarantee a response and we cannot share stories from people outside of the UK.

However, each story is read and appreciated as it helps us to understand more about how brain injury affects people.

Please only use this form to share your story with us. Your submission may not be read quickly so please contact our helpline on 0808 800 2244 or helpline@headway.org.uk if you require support or information.

You can save your progress using the tick box at the top of this form.

When you have completed the form, click 'Submit' to send your story to us.

Your details

First Name

Last Name

Phone number

Your connection to brain injury

Date of birth (dd/mm/yyyy)

Providing your date of birth allows us to check that you meet our age criteria for sharing stories. It also allows us to target your story to our different audiences to help raise awareness.

Address

Address Line 1

Address Line 2

City

County

Country

Postcode

Your story

Enter as much detail as you can in the boxes below. We will contact you to discuss your story before we publish and share it.

A suggested title for your story (optional)

Please tell us your story

Supporting links and information

Main image

Supporting image

Your sharing options

How can we use your story?

In Headway materials e.g. in our social media content, on our website, in Headway News magazine in fundraising materials including leaflets and emailsIn external media e.g. TV, radio and newspapers, including their websites and social media channels

You can choose for your personal details to be used within your story or to remain anonymous (in which case, any details which could identify you will be removed)

I am happy for my personal details to be used as part of my storyI would like my story to be anonymised

Consent

We recommend you consider the feelings of your close family and tell them that you have allowed us to take and use your photo/film/words.

Remember that once your photo/film/words are published and in circulation, these may be copied and used by others. If you ask us not to use the photo/film/words, we will not use them again and will do our best to stop others doing so, but we cannot guarantee it. The photo/film/words may still be featured on printed materials that are already in circulation.

Please tick the box and enter the date below to give your consent.

I give consent for my photo/film/words to be used by Headway for the purposes outlined above.

Keeping in touch

By submitting this form you are consenting to us storing your data in accordance with our privacy policy and contacting you to discuss your story.

We would like to be able to add you to our mailing list to send regular updates on the work of Headway, and to discuss any other opportunities to get involved in the work of the charity.

Please tell us if you would be happy for us to do this by selecting the options below:

Headway can contact me again by email

YesNo

Headway can contact me again by phone

YesNo

Can you help us to understand the impact of brain injury?

Headway would like to learn more about your brain injury and how it affects you, to help us plan, develop and campaign for better services on your behalf.

Do you have a spare 5 minutes to answer some additional questions about how your brain injury affects you?

YesNo

Please click the button below to submit your story.

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