Consumer Story Bank Registration
Please complete this form if you are interested in your story being shared with the public as part of CDPAANYS' efforts to highlight the impact of COVID-19 on Consumer Directed Personal Assistance in New York.

By providing information here, you agree to be contacted by CDPAANYS and may be asked to speak to the media or interviewed.
Email address *
About you
Reporters and elected officials often are looking for specific types of stories from people in specific areas. To make sure your story has as much impact as possible, we would like to know a little bit more about you. We will not share your personal information without your consent, and we never share contact information or sell our list.
I am a: *
Name *
Phone number *
E-mail address *
I prefer to be contacted by: *
In which region do you live? *
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Which category below includes your age? *
What is your gender? *
I identify my race or ethnicity as: *
Required
What is your highest level of education completed:
Clear selection
Employment *
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