The "Severe ME Is..." Campaign
How This Works:
1. Fill in the form and press submit.
2. Your quote will be used to create ME awareness graphics to be shared on social media.
>> You can see the entire collection at
- Feel free to use them for awareness purposes as long as the graphics are not edited and remain in tact.
NOTE: By submitting this form you agree to your quote being used on an image that will be shared publicly by me and others on social media for awareness purposes. Your name and email will remain private, it is only required so that I may contact you about your quote, if necessary.
Name, nickname or initials
The information you provide below will be added to the awareness graphic and will be shared on social media.
Severe ME is... (fill in the blank)
Thank you for sharing your experience. Remember, you can see the entire collection at
and you are welcome to use them for awareness purposes as long as they remain unedited and in tact.
* This campaign was created by Char (Chronically Hopeful). Visit
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google.
Terms of Service