Share Your Real Health Story

Share Your Real Health Story
Together, our stories of survival can make a difference. When people living with and impacted by a disease or health condition share how they dealt with it, they inspire others and break down the shame, silence and stigma surrounding the condition.

Real Health wants to hear how you are dealing with an illness or health condition in your life. Just tell us a bit about yourself in the space provided below. Selected entries will be published online and in print!

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Tell us your story*

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What three adjectives best describe you?*

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What is your greatest achievement?*

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What is your greatest regret?*

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What is the most surprising thing you've learned about yourself?*

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What is the best advice you ever received?*

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If you could change one thing about your life, what would it be?*

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What person do you most admire?*

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What drives you to do what you do? *

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What is your motto?*

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If you had to evacuate your house immediately, what is the one thing you would grab on the way out?*

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If you could be any animal, what would you be? And why?*

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Please provide the following information about yourself. (Only your name and location will be shared on realhealthmag.com. All other information will remain confidential.)

Privacy Warning: Please realize that the Real Health Stories are fully searchable via Google and other search engines. If you have do not wish to share your health information with the whole world (or at least the entire internet) then please post your story anonymously and do not include any information that is self-identifying in any way. We do not allow the deletion of content on this site, so think before you post.
Full Name*

First NameLast Name
E-mail*
Phone Number

Area CodePhone Number
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Date of Birth

MonthDayYear
Gender

MaleFemaleTransgenderOther
Ethnicity (Check all that apply)

American Indian or Alaska NativeArab or Middle EasternAsianBlack or African AmericanHispanic or LatinoNative Hawaiian or other Pacific IslanderWhiteOther
Sexual Orientation

StraightGay/lesbianBisexualOther
Upload your photo to accompany your Real Health Story

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(You do not have to include a photo but stories with photos may be highlighted on the RealHealthMag.com homepage.)

Please read the RealHealthMag.com Terms of Use. You must agree to abide by these rules in order to submit your story.
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