What Is Your Story? #MyClotStory

Blood clot survivors around the world are sharing their inspiring stories through the new #MyClotStory campaign. Click here to view their stories or share your story below.

Full Name:*

Age:

Country of Residence:*

Email Address:*

Please share links to your social media accounts so we can tag you. (e.g., Facebook, Twitter, Instagram):*

Would you be willing to be contacted as a World Thrombosis Day patient advocate to potentially share your story with media outlets?* Yes No

How old were you when you were diagnosed with a blood clot?*

What was your specific diagnosis? (i.e., DVT, PE, VTE):*

Do/did you have any risk factors for a blood clot? If so, what?*

Did you experience any signs and/or symptoms of a blood clot? If so, what were they?*

How has your thrombosis experience affected your life?*

What changes have you made to your daily life since your blood clot diagnosis?*

What advice would you give to someone who has experienced a blood clot?*

Please upload a photo in .JPG or .PNG format.