Share Your Story | ThisIsUs

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Share your story/testimony with ThISus

* Required

First and Last name *

Your answer

Phone Number *

000-000-0000

Your answer

Do you text? *

Yes

Email address *

Your answer

What issues have you or do you face that would relate to other women. *

Check all that apply

insecurity

fear

anxiety

divorce

rape

abortion

abuse

anger/bitterness

shame

selfdoubt

Other:

Required

Provide a brief description of your story. *

Your answer

Thank you for sharing! We will contact you soon. How would you like to be contacted? *

Phone Call

Text

Other:

When you share do you give us permission to share by: *

check all that apply

video/media

blog

literature

Other:

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Would you like to remain anonymous? *

YES

No preference

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