Share your story form

Every story shared has the power to change how people understand digestive symptoms and conditions.

To submit your interest in sharing your story with a digestive condition, please fill out and submit the form at the bottom of this page.

Interested in sharing a pancreatitis story or your experience through video? Read on to find out what to do…

Sharing your pancreatitis story

If you’d like to share your pancreatitis story, please complete a different form here.

Sharing your experiences through video

If you would like to share your experiences through video (i.e a day in your life, things you want others to understand, or tips for managing your condition), please fill in the form here.

Please note that submission of a story or video form does not guarantee that your story will be shared. As a small team, we are unable to share everyone’s story right now, but if an opportunity arises to share yours, we will be in touch. Thank you.

Sharing my story about a digestive condition with Guts UK

Your information

Name(Required)

First name Last name

Your age(Required)

Email address(Required)

Contact number(Required)

Address(Required)

As a UK charity, we can only share stories from people based in the UK.

City/Town Region

Your ethnicity(Required)

We are asking this question to ensure our stories are reflective of our whole community.

About you or your loved one

Who are you?(Required)

Please let us know who is completing this form.

I am filling in this form for myself (adult aged 18 or over)

I am filling in this form on behalf of a child who is under the age of 18 and I am their parent or legal guardian

I am filling in this form in memory of a loved one who has passed away

I am filling in this form as a carer of an adult (aged 18 or over)

My loved one's name

If you are sharing a story on behalf of a loved one, please let us know their name.

First name Last name

My loved one's age

If in memory, please let us know at what age they passed away.

Please tell us what digestive condition this story is for(Required)

We endeavour to share a range of stories that reflect the range of digestive conditions which we currently provide trusted information on, which are listed below.

If you/they have more than one digestive condition, please tell us more.

Your story

Can you tell us a little more about your/their digestive symptoms started andwhat they were?(Required)

Can you tell us more about what led to your/their diagnosis (ie medical tests)?(Required)

In what year was your/their diagnosis received?(Required)

How has your/their digestive condition impacted your/their life?(Required)

Why do you want to share your/your loved one's story with Guts UK charity?(Required)

Have you had any previous involvement with Guts UK Charity?(Required)

If you have an existing connection to our cause, we'd love to know.

Yes

If yes, tell us more about your involvement with us (e.g. I've fundraised for Guts UK or I've taken part in #GUTSelfie)

Why are you supporting Guts UK charity today?(Required)

Photos

Please upload up to three clear photos of yourself and/or the person whose story you are sharing(Required)

We will use these photos alongside your story. Where applicable, you must obtain permission.

Drop files here or

Max. file size: 50 MB, Max. files: 3.

Permissions

Where applicable, you must obtain your loved one's permission.

Permissions - Media(Required)

By ticking this box, I acknowledge that my story may be shared on Guts UK's website, social media and other channels. (Please note, we will always contact you first before sharing.)

I am happy for Guts UK to share my story in the ways listed above

Permissions - Research and Public and Patient Involvement and Engagement (PPIE) requests(Required)

Should an opportunity arise for being involved in research or PPIE requests, I am happy for Guts UK to contact me with the details I have provided:

Yes, I'd like to be contacted

No, I don't want to be contacted

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How we’ll store and use your information

Your information will be stored safely and securely by Guts UK Charity, in line with our Privacy Policy. The information you provide in this specific form will only be used to share your story and raise awareness of digestive conditions and our work at Guts UK.

We’ll be in touch if we plan to use your story. In the meantime, you can change your mind at any time. Please get in touch with us at comms@gutscharity.org.uk or call 020 7486 0341.