Sick from the Beach? Tell Us Your Story!
Surfrider is collecting stories from beachgoers and ocean users in Florida about your experiences getting sick due to polluted water at a beach or coastal waterway. These stories and testimony will support Surfrider's priority clean water campaigns in Florida aimed at protecting and informing beachgoers about public health risks from going in the water. Please fill out the form below to share some information about yourself and your story.

Sign in to Google to save your progress. Learn more
Name  *
Email *
What beach or water did you get sick at/what geographic region of the state? *
When did you get sick? *
Explain, in as much detail as you are able to, what happened and the type of illness you experienced? *
Did you see any water quality advisory signs at the beach or beach access points when the event occurred? *
Anything else you want to share? 
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of Surfrider Foundation. Report Abuse