Storytelling collection form

Storytelling sharing form

TAADAS is looking for people to share their stories so we can show policymakers that recovery IS possible. Your story CAN make a difference!
My information:
Full Name*

First NameLast Name
Address (If you'd rather not share, please list the city where you live).

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number*
E-mail*
example@example.com
Here's my story....
Before recovery, I was....
Here's a brief description of my recovery journey (3 or so sentences)...
My life is different today because....
The most important thing I want people to know is....
By completing and submitting this form to TAADAS, I agree to allow TAADAS to use my name, information, and photo (if provided) in efforts to promote TAADAS' mission -- to educate, support and engage our members and public, influence policy, and advocate for prevention, treatment and recovery services.

I understand that my information might be used on TAADAS social media, its website, in advertising and promotional materials, and other materials distributed to lawmakers and stakeholders.
Would you like to share a picture of yourself? Please upload it here.

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Here's my story....