PARA COMPARTIR SU HISTORIA

Para crear un mayor impacto global con nuestra campaña del Día Mundial del Cáncer de Páncreas en 2022, estamos buscando historias que destaquen LA IMPORTANCIA DEL TIEMPO en relación con esta devastadora enfermedad. Si usted es un paciente, un cuidador, un familiar o cualquier otra persona que haya sufrido el impacto del cáncer de páncreas, rellene el siguiente formulario para compartir su historia.

Tell My Story 2022

"*" señala los campos obligatorios

STORY BACKGROUND

Please submit your story in English.

WHAT'S YOUR NAME?

Please tell us your name as story teller.

First Name*

Last Name*

Email*

WHICH WPCC ORGANISATION ARE YOU SUPPORTING?

Please select from the drop down list.

ORGANISATION?*

WHO IS YOUR STORY ABOUT?

Please share the name of a patient, caregiver, family member, friend, or healthcare professional.

My Story Is About*

WHEN DOES YOUR STORY TAKE PLACE?

During what timeframe?

FROM ➔

➔ TO

If the time frame is important for your story, please specify here. If not applicable, please leave blank.

HOW WAS PANCREATIC CANCER DISCOVERED?

It was discovered...

THE IMPACT OF TIME

WHAT CAN YOU SHARE ABOUT THE VALUE OF TIME RELATED TO PANCREATIC CANCER? FOR EXAMPLE...

HOW HAS YOUR OUTLOOK ON TIME CHANGED BECAUSE OF PANCREATIC CANCER?

HOW MUCH OF A ROLE DID EARLY DETECTION PLAY IN YOUR STORY?

WE OFTEN THINK OF TIME AS A “GIFT” - HOW DOES THE GIFT OF TIME RELATE TO YOUR STORY?

Write here..

YOUR UNIQUE STORY

EVERYONE’S STORY IS PRECIOUS, SO PLEASE FEEL FREE TO SHARE ANYTHING ELSE YOU WOULD LIKE.

Tell your story...

UPLOAD PHOTOS OR A VIDEO

PHOTO

Tipos de archivos aceptados: jpg, jpeg, png, gif.

This will be the featured image for your story. However, uploading a photo is not required.

VIDEO

Tipos de archivos aceptados: mov, mp4, wmv, Tamaño máximo de archivo: 50 MB.

Consent*

WPCC has my permission to use this story, photo and/or video content.*

Please check box on the left to confirm that WPCC may edit and share your story on the WPCC website, social media channels and other digital media. You may review our privacy policy here.

Your story will be shared during the WPCD 2022 Campaign starting Nov. 2nd.

CAPTCHA

Name

Este campo es un campo de validación y debe quedar sin cambios.

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