Tell us your story

We would like to collect stories about 
- why you vaccinate yourself or get your family vaccinated
- why you encourage others to get vaccinated
- your memories of getting a vaccine preventable disease or caring for someone who got a vaccine preventable disease

Stories will be shared on our website and on our social media channels. Sample stories are available from bit.ly/VacHero

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* 1. What vaccine or disease would you like to tell us about?

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* 2. What kind of story would you like to tell us?

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* 3. Tell us your story

We are asking for your personal details in case we need to contact you to ask you questions about some of the answers you have given. If we share your story we will only use your first name

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* 4. Your Name

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* 5. Email Address

Thank you for taking the time to share your story with us. If we have any question we will be in touch. 

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