Story Submission Form

Please complete the form below to send us your story. Should we have any questions or require additional information we will contact you directly. Please ensure you leave us one form of contact information, either email or phone. Thank you!

If you are unable to submit online, please email Claire Notman (claire@cfn-nce.ca) or call her at (613) 549-6666, x.7986.

Tell us your story.

Capturing impact/success stories from citizens

Name*
First Last
Email

Please provide us with one form of contact.
Phone
Please provide us with one form of contact.
Are you:*
- An older adult living with frailty
- An older adult worried about becoming frail
- Family or friend caring for an older adult
- Working directly in providing health or social care for older adults
- Working in administration or policy/decision making for health or social care for older adults
- Individual concerned about care for older adults living with frailty
What residential setting does your story take place in:*
In which province or territory do you, or the older adult(s) you care for, reside?*
Tell us your story about living with, or avoiding, frailty.*
250 words max.
If you have any photos, audio files or videos that you would like to include, please upload them here.
Drop files here or
2MB max • We can accept files in these formats: jpg, gif, png, wmv, mp4. • If you are uploading video, please note that we may add it to our YouTube channel to display it on the website
Consent
By submitting your comments through Canadian Frailty Network’s website form, you consent to the use of these comments – in full or in part – on CFN’s website, YouTube channel, or in social media or other communications. We may at times email you and request edits be made to your story. We will always seek your permission to do this and allow you to approve any changes. Please note: CFN collects and uses the personal information you provide only in the manner we described, and in compliance with all applicable federal and provincial privacy laws in Canada – please visit https://www.cfn-nce.ca/privacy-policy/ to read our complete Privacy Policy.
I consent to use of my story as outlined in this submission form:*
- Yes
- No

Save and Continue Later

Story Submission Form

Tell us your story.

Consent