MySickleCellTeam

Thank You for Your Interest in the MySickleCell Beta Program

Thank you for your interest in joining the MySickleCellTeam private beta, a social network for those living with sickle cell disease. The purpose of this short survey is to learn more about your life with sickle cell. We will be in touch over the coming months for additional feedback as we build out features for MySickleCellTeam.

ALL OF YOUR ANSWERS TO THIS SURVEY WILL BE KEPT COMPLETELY CONFIDENTIAL.

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* 1. Please enter your information below and we will let you know when the site launches!
(We will not share your information. The information you provide below is completely confidential).

First name:

City/Town:

State/Province:

Country:

Email Address: *

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* 2. What year were you born?

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* 3. What best describes you below?

I live with sickle cell disease.

I care for a spouse with sickle cell disease.

I care for a child with sickle cell disease.

Other (Please specify what best describes you.)

Question Title

* 1. Please enter your information below and we will let you know when the site launches! (We will not share your information. The information you provide below is completely confidential).

Question Title

* 2. What year were you born?

Question Title

* 3. What best describes you below?

* 1. Please enter your information below and we will let you know when the site launches!
(We will not share your information. The information you provide below is completely confidential).