Share your Autoimmune Story

Step 1 of 2

TELL US ABOUT YOURSELF:
Name*
Email Address*
IG Handle*
Age*
Location*
Occupation*
Decribe your family/children.*
PHOTOS
Upload a photo for sharing.
Max. file size: 5 MB.
photo for sharing (recommended: a square photo at least 500x500px, .png or .jpg format) If you have any issues uploading your images, please submit the form and send images separately to: Aimee@AutoimmuneSisters.org Max Allowed Image Size: 5MB
Have a second photo? Go ahead and upload it here.
Max. file size: 256 MB.
photo for sharing (recommended: a square photo at least 500x500px, .png or .jpg format) Max Allowed Image Size: 5MB
List your autoimmune diseases.*
List your chronic or related viruses.*
Describe your diet, physical activity, sleep routine and any other relevant information.*
TELL US YOUR AUTOIMMUNE STORY
In a few sentences tell us a little bit about yourself.*
Tell us your Autoimmune story. From beginning to present. Include: symptoms, diagnosis, doctors, co-viruses/chronic illnesses, treatment…*
How has Autoimmune disease affected your life? Both the good and the bad.*
Describe some methods of healing or things that have worked to alleviate your symptoms.*
List some areas that you still struggle.*
Is your autoimmune and any co-viruses in remission? See <a href="https://www.verywellhealth.com/autoimmune-blood-test-5112938">blood tests for Autoimmune Diseases</a>.
- Yes, I am in remission.
- No, but I’m closing in!
- No.
Explain.
Share your favorite quote, verse or encouragement and how it's helped you on your path to healing.*
Permission*
- I give permission for AUTOIMMUNE SISTERS to share this information on the @AutoimmuneSisters instagram feed and/or on their website www.AutoimmuneSisters.org. * and to be added to the Autoimmune Sisters mailing list.
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