Form

Name

The Foundation will only publish first names

City

State

Country/Region*

Email*

Are You a Member of the Sjögren's Foundation?*

Yes

Unsure

What year were you born?

What is your age?

Age when diagnosed

What topic would you like to discuss. Please list one symptom (dry eyes, fatigue, joint pain, etc) or situation (being a student, filing for disability, dating, working etc) to discuss in the next few questions:

What do you wish you knew when first dealing with this symptom/situation?

What are the top 3 over-the-count products or tools you use when dealing with this symptom/situation?

What is your best advice for another patient dealing with this symptom/ situation?

In a few short sentences, please tell us your story with this symptom and anything additional for advice for another patient going through something similar.

Please finish the following sentence: "Sjögren's has taught me..."

What are your most difficult symptoms?

What do you wish people knew about your Sjögren’s?

How do you incorporate self-care with managing Sjögren's?

How has Sjögren's impacted your life (either physically, emotionally, financially)?

What is your go-to Sjögren's product?

What’s your best Sjögren’s tip?

Clearly show your face No sunglasses No Group Shots (1)

Don't forget a picture of yourself! *

Upload a personal image of yourself to use with your Sjögren's Story. Please do not include pictures that may include sensitive information such as a driver's license or passport.

By submitting this form, you agree to receive emails from the Sjögren's Foundation and give us permission to post your submission and uploaded photograph to our website.