This survey should take just a few minutes. I am writing for Marcinson Press about living with chronic diseases and conditions. We hope that your answers will help readers understand what you are going through and how to help. By agreeing to participate in the survey, you're agreeing to have your answers made public as part of the survey's collective response. Please remember that you always have the option to simply not answer questions that you find uncomfortable. You'll have an opportunity at the end of the survey to add (at length) anything else you'd like to share.
I'm going to ask you to give me your name. If you'd rather not disclose who you are and I want to use your answers, I'll make up a name for you. Obviously, you can do that for yourself, too.
Thank you for sharing your experiences. If you'd like to contact me for more information or to share something even more specific or detailed, please write me at email@example.com