Share Your Story

ONLY the information provided in this section will be shared with the public through our website and social media channels.

How long have you had a spinal cord injury? *

What is your injury level?

Tell us about yourself. What's important to you? What are your passions and/or hobbies? *

What advice would you give to someone who is recently injured? *

How do you overcome the "bad days"? *

What do you love about yourself? *

What do you wish you had known when you were first injured?

Anything else you want to share - something uplifting, funny, thought-provoking?

How has OSCI helped you?

Please upload photos and/or brief videos to introduce yourself the SCI community. *

Click or drag files to this area to upload. You can upload up to 5 files.

High quality, close-up images of you are best. We may have to crop images to fit into the website layout. Videos should be no longer than one (1) minute.

How would you like your name to appear on your story profile? *

You may choose your legal name, a nickname, or another name you're more comfortable with. You may also include your pronouns.

Do we have your permission to share your story and photo/videos on our website and through our social media channels? *

Yes
No

Contact Information

This information is only used to contact you. Your responses are confidential.

Name *

First

Last

Email *

Phone

Address

Address Line 1

Address Line 2

City

State

Zip Code

Demographic Information

These questions are optional and your responses are confidential. We would like you to tell us your race, ethnicity, and language so we can ensure the diversity of our community is accurately represented in the stories we present. The information you provide here will not be shared as part of your story unless you included it in your responses to the previous questions.

How do you identify your race, ethnicity, tribal affiliation, country of origin, or ancestry?

Which of the following describes your racial or ethnic identity? Please check ALL that apply.

What language or languages do you use at home?

Share Your Story

Share Your Story

Contact Information

Demographic Information

Oregon Spinal Cord Injury Connection

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