Share your story with the media.

Thank you for taking the time to get involved.

Increasingly, we are being approached by the media looking for people living with PoTS who may be willing to share their stories. Additionally, we are looking to approach the press with some story ideas of our own.

If you are willing to speak to the media and share your story, we would love to hear from you and learn more about your experience of accessing care/living with PoTS.

Please note we won't be in touch with everyone who completes the survey but we will keep your details and reach out as and when opportunities occur.

Thank you for helping us to raise awareness about PoTS.

If you have further queries or would like us to remove your information at any time, please email enquiries@potsuk.org.

1.Are you a...?
2.How old are you?
3.How old were you when your symptoms first started?
4.What was the length of time from your symptoms starting to diagnosis?
5.Would you be happy to share your story in the press? This may involve an interview with a journalist and/or further discussions with the PoTS UK team.
6.Do you have any previous media experience?
7.Would you be willing to be filmed or recorded for TV/Radio?
8.Please select any of the following that apply? If answering on behalf of a child, please select whichever are relevant to them.(Required.)
9.Please briefly describe your experience of living with PoTS and any challenges you have faced in terms of education, work, diagnosis etc. Please consider what the media may find interesting to report on. We know how hard (near impossible!) it is to keep this brief but please aim for approx 150 words just to give us an idea of your situation. We can discuss in more detail at a later stage.
10.What is your name?
11.What is your gender?
12.What is your email address?
13.What is your mobile number? We are often asked to find suitable volunteers for news items at very short notice so it is helpful to have your number if you are happy to share it.
14.Where are you based? (Town/City & County)
15.We may use quotes or comments from this feedback on our social media or funding applications. Do you give your consent for us to do so? This would all be anonymised.
Thank you for taking the time to complete this survey. The best way to stay up to date is to become a member of PoTS UK. It is free to join. Visit: https://www.potsuk.org/become_a_member

Data Privacy Statement
What we do with the information that we gather from survey responses.
In obtaining your cooperation to participate in the survey, we undertake not to mislead you in any way about the nature of the research we are conducting, the way in which the data is collected and the use that will be made of the survey results.
All of the information that you provide will be treated as confidential and will only be shared with your consent.
We do not use any of the information you provide for direct marketing or other non-research activities.

If we ask you for personal information that enables you to be identified - e.g. your name and e-mail address we will clearly state why we are asking for it and for your permission to use it for that purpose. For example, it might be to inform you of future surveys, to see if you would be happy to share your story or to inform you of future events.
Your participation is voluntary. You are entitled to ask that part, or all, of the record of your involvement in the survey be deleted or destroyed. Please contact enquiries@potsuk.org if this is the case or you have any questions regarding our data privacy.