BLACK HEART ASSOCIATIONSuccess Stories SurveyWe’d love to hear how our work has made an impact. Your story may be featured in future campaigns, on our website, or in social media to inspire others and show the power of heart health advocacy. Name (You can choose to share anonymously if you prefer) First Name Last Name Email (Optional, if you want us to follow up or feature you) Phone (Optional, if you want us to follow up or feature you) Country (###) ### #### May we contact you for additional details or a potential feature/interview? * Yes No Your Experience How did you first connect with the Black Heart Association? What service or program did you participate in? (Select all that apply) Free heart screening Health fair Educational workshop Community partner event BHA Bus activation Corporate or school screening Other In your own words, please describe your experience and the impact it had on you, your family, or your community. What stood out the most about the experience? Permissions Do you consent to the Black Heart Association sharing your story publicly (website, social media, print, etc.)? * Yes, with my full name Yes, but please keep it anonymous No Final Thoughts What would you say to someone considering participating in a Black Heart Association event or service?Area THANK YOU!Your voice helps us inspire more people to get screened, take action, and protect their hearts.
