Cleveland.com and The Plain Dealer are inviting you to share your story about the healthcare workers and caregivers in Northeast Ohio who made a difference in your life — and to help us celebrate the extraordinary care happening in our community.
This questionnaire is designed to guide you through telling your story. If we select it for profiling, we’ll ask you to sign a consent form so your medical professionals can verify the details of your illness and treatment. To protect your privacy, published stories will identify you by a first-name pseudonym, along with your age and city of residence. We ask for your full name for reporting purposes only.