Download PDF Page Share Your Story Use this form to submit your story to the Epilepsy Foundation. Your experiences help demonstrate the importance of support and research for people living with epilepsy and will be handled with sensitivity. We will be in touch to discuss and get your approval before sharing anything you submit here. Name:*Phone:Email:*State:*VictoriaNew South WalesOtherI am:*Living with epilepsyA family member of someone with epilepsyA friend with someone with epilepsyOther Tell us about your story in the text box below. Some ideas for what to include: - When was your first seizure? What were the circumstances, where were you and what happened? - Have you had a formal diagnosis, and are you now undergoing treatment? Has your treatment been effective? - How has epilepsy affected you and your family's lives? Have you experienced stigma or discrimination? - What are you hopeful for? Are there things you are optimistic about?Have you received any support from the Epilepsy Foundation previously?*YesNoHave you received support from any other organisations? If so, which?If you are comfortable sharing an image of yourself, please upload it here.Confirmation* I confirm the above statements are true and correct.