Share Your #MyClotStory Today!

Blood clot survivors around the world are sharing their inspiring stories through WTD’s new #MyClotStory campaign. Click here to view their stories or share your story below. Due to the high volume of story submissions, #MyClotStory profiles will be published throughout the year.

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Full Name*

Edad*

Please enter a number from 1 to 120.

Email Address*

Enter Email Confirm Email

Country of Residence*

Please share links to your social media accounts so we can tag you. (e.g., Facebook, Twitter, Instagram)

Would you be willing to be contacted as a World Thrombosis Day patient advocate to potentially share your story with media outlets?*

Yes

How old were you when you were diagnosed with a blood clot?*

Please enter a number from 1 to 120.

What was your specific diagnosis? (i.e., DVT, PE, VTE)*

In five sentences or less, describe your blood clot experience (i.e., your risk factors, signs/symptoms, and how having a blood clot has affected your life).*

In what ways do you incorporate movement into your daily routine and how do you believe it contributes to your overall health and well-being?*

Please share how World Thrombosis Day has helped with your blood clot journey. (Please share 3-4 sentences)*

Please upload a headshot*

Accepted file types: jpg, png, Max. file size: 2 MB.