Share Your Story-Caregivers - Lupus Society of Illinois

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Story Sharing Questionnaire

Story Sharing Questionnaire - Caregiver

You are not alone. Remembering that is the purpose of the Living Well with Lupus Story Sharing Project. When you’re not feeling well and no one seems to understand what you’re going through – we hope that you will share your story and find comfort in the shared experiences of others.

Name*
First Last
Email*
Phone
Date
MM slash DD slash YYYY
Who in your world has lupus?*
Mother, father, daughter, son, sister, brother, friend, aunt, uncle, etc.
When did you first learn about lupus?
How has your life changed since your friend/family member's lupus diagnosis?
Please share your story.
Would you like your email shared on your story?*
- Yes
- No
Photo
Accepted file types: jpg, gif, pnd, pdf, Max. file size: 256 MB.
Please upload a photo you would like to accompany your story.

Individuals have the option to share their story anonymously or include contact information if they’d like to give others the opportunity to contact them.

We hope you will appreciate the Living Well with Lupus Story Sharing Project and find it helpful when you are feeling the strain of living with lupus.