SHARE YOUR VALLEY FEVER STORY

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Have you or a loved one suffered from Valley Fever? Are you interested in sharing your story with our VFAF community? With your permission, responses may be shared on our website, social media pages, or featured in our YouTube series, "Interviews with Survivors of Valley Fever "

Name

Email Address

Phone Number

Can we contact you for further information regarding your Valley Fever story?

Yes, by phone or email

Yes, by email

Yes, by phone

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What is your connection to Valley Fever?

Survivor

Friend or Relative of Survivor of Valley Fever

Lost a Loved One to Valley Fever

Other:

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Are interested in sharing your story with others? (In Print, Online, or on Camera?)

Yes

Yes, but not on camera

Yes, but anonymously

No, only with the Foundation

Other:

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Your Valley Fever Story

Would you be interested in doing an interview?

Yes

Yes, but not on camera

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Do you have any advice you would like to offer to others in our community that are struggling with this disease?

Submit

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