Your Story Matters: Tell Us How WPBDF Has Made a Difference

Your Story Matters: Tell Us How WPBDF Has Made a Difference

We want to hear from you! Has the Western Pennsylvania Bleeding Disorders Foundation (WPBDF) made a difference in your life or the life of someone you care for? What does being part of the Western PA bleeding disorders community mean to you? Please share your story below. Your experience helps us show the real impact of WPBDF through the voices of our community. Your story may be used in WPBDF publications, presentations, grant reports, or online materials to help share the difference we’re making together.
Contact Information:
Name (optional). You can share your name or leave this blank if you prefer to remain anonymous.

First NameLast Name
Email (optional). You can share your email if you’re open to us contacting you for a follow-up or to feature your story.
example@example.com
Phone Number (optional)
Please enter a valid phone number.
What is your preferred method of contact should we need to follow up with questions?

EmailPhone
Your connection to the bleeding disorders community:
If you choose other, please specify below:
Sharing Your Story
How has WPBDF impacted you or someone you care for? Tell us in your own words, you can write a few sentences or a longer story, whatever feels right!
Consent & Sharing

Your story may be used in WPBDF publications, presentations, grant reports, and online materials to help share the impact of our work!
May we share your story?*

Yes, you can share my story with my nameYes, but please keep it anonymousInternal use only
(Optional) Would you like to upload a photo?

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Anonymous stories will not include your name or photo. They may be identified only by your relationship to the community, such as “a parent of a child with Hemophilia A.”
I understand my story may be edited for clarity or length, while keeping its meaning intact.I confirm that the information I have shared is truthful, and I agree that WPBDF may use my story according to the sharing preferences I selected above.
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Your Story Matters: Tell Us How WPBDF Has Made a Difference

Contact Information:

Sharing Your Story

Consent & Sharing