Help us spread awareness of brain injury and BIASC’s mission of creating a better future through brain injury prevention, research, education, and advocacy. Please share your experience below. Your words may be used in BIASC’s marketing and outreach.

Name

First Name

Last Name

Email

Subject

I am responding as

A person wtih brain injury

Family member of a person with brain injury

Both

How did you first hear about BIASC?

What BIASC programs, services, or events have you used or participated in?

Support Groups

Thrive Together Tuesdays

Life with Brain Injury Annual Conference

Walk, Run & Roll for BI Awareness

Other program not mentioned above:

In what ways has BIASC made a difference in your life or your family’s life?

Can you share a specific moment or example that stands out?

If you could describe BIASC’s impact in one or two sentences, what would you say?

Is there anything else you’d like to add?

By submitting this form you grant BIASC permission to use your words and/or photo in marketing and outreach materials.

We’d love to hear from you!

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