Thank you for submitting your story as part of our Every Breath Counts campaign.

Following approval, your story will feature on our campaign website.

If you have any queries regarding your contribution, please email communications@actionpf.org.

For more information about Action for Pulmonary Fibrosis, visit our website: actionpf.org

Share your story

Help tell the story of pulmonary fibrosis - every breath counts.

Add your contribution to our PF month 2025 campaign website by completing the short form below.

Please note, by completing this form your contribution will feature on a public website, following approval.

Please don't share identifiable or personable information, or name people/brands/organisations in your response. If necessary, Action for Pulmonary Fibrosis (APF) may edit your contribution prior to approval. On occasion, APF may choose not to publish your story.

Please note, the name added here will be visible when published on our website. Contact details will not be shared.

First name:

This is required.

Last name:

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Email:

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This needs to be a valid email.

Phone:

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County

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What is your experience of pulmonary fibrosis?*

Please share how you or a loved one has been affected by pulmonary fibrosis. You may wish to talk about how you've been affected physically and/or emotionally, but please remember not to include any identifiable or personable information, or name people/brands/organisations in your response. We recommend keeping this to no more than 200 words.

Complete the sentences below in your own words (150 characters per sentence) *

A diagnosis of pulmonary fibrosis is… *

Pulmonary fibrosis has taught me… *

My message to others affected is… *

How has Action for Pulmonary Fibrosis supported you? * (500 characters)

How would you describe pulmonary fibrosis in one word? (1 word) *

Upload a photo to be published with your contribution.

Please ensure you have permission from everyone in the photo before you share it.

Please provide images like the examples shown opposite - portrait and cropped with not too much background

Images must be in .jpg or .png format with a minimum file size of 1MB and max size of 2MB.

Drop your image here or click to browse

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We may wish to use share your story as part of our social media / campaigns / marketing / press or media opportunities in the future. We will always get in touch to request your consent to do so. Please indicate below if you are happy for us to contact you about future opportunities: *

Yes, please contact me by email
Yes, please contact me by phone No, thank you

Please select a consent option.

Would you like to hear from us? Keep up-to-date with the latest in pulmonary fibrosis by signing up for the APF e-newsletter. You can opt out at any time.

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By submitting, you are providing consent for Action for Pulmonary Fibrosis to share your story on our website and securely store the information you have provided. Action for Pulmonary Fibrosis takes your privacy very seriously and we will never sell your details to a third party. For more information about how we protect and use your personal data, please visit our Privacy Policy.

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