Chronic Illness Leadership For Emergent Times (CIFET): A U.S. Network Launched in the COVID-19 Pandemic
Strategy, practical tools and support for people with chronic illnesses in the US, incorporating disability justice, emergent strategies & mutual aid practices.
Email *
City / State where you live
I would like to:
I am (choose as many as apply)
If you'd like to share, what chronic illness(es) do you have?
The skills I have to contribute to this effort are:
Are there ways this network and its activities can be or become more accessible to you?
The languages I speak are
First Name
Last Name *
Organizations and Networks I'm a part of:
Roles I play in groups, movements and/or my community
Phone number (mobile preferred)
What is your age?
How do you describe your gender?
How do you describe your race/ethnicity?
Questions and concerns I have are:
If you are living with chronic illness and/or disabled: What wisdom do you have to share / tips of any kind that you think will be helpful to people now and in the future? Also, let us know if you'd like to be named or not named if we share this:
What resources have been useful to you (articles, podcasts, social media posts, etc)? If you have created the resource and want to be credited, please give the name you'd like us to use and we will (and if you have a resource that does not have a link, you can email it to
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy