Share your story here

Complete this form today and help other people to make a new beginning and rebuild their lives after spinal cord injury.

Name*
Age
I am injured*
I am a relative of an injured person*
I am a member of SIA*
Date of injury*

DD
MM
YYYY
Level of injury*
Complete / Incomplete*
Nature of injury*
Please tell us what happened*
Where were you treated*
How long were you in hospital/Spinal Injuries Unit
Tell us about your experience whilst in hospital
How did your family feel during this time?
Did you receive any support from SIA?
If yes, which services did you access?
- Peer support
- Advice line
- Telephone counselling
- Continuing healthcare advice
- Website
- Information kiosk
- Leaflets
- Academy master clases
Tell us how these services helped you
Did you work before your injury?*
If yes, what did you do?
Were you able to return to this job?
If no, did you return to alternative work?
Please specify your new role (if applicable)
Tell us about an achievement that you are proud of
I agree for my story to be used on the SIA website
I agree my story can be used to promote SIA
Email*
Enter Email Confirm Email

You can find out more about how SIA uses your data and protects your privacy here: www.spinal.co.uk/sia-privacy-policy
Phone
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