BLACK HEART ASSOCIATIONSuccess Story Submission FormWe love hearing how our services have impacted lives! Share your story and help inspire others to prioritize their heart health. 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 (###) ### #### Where can we find you on social media? (Optional, if you want us to follow up or feature you) Where did you receive your BHA screening? Community Event Mobile Health Unit - Dallas Mobile Health Unit - Houston Free At-Home Kit Other: What did you learn from your screening? * My results were normal, and I’m grateful to know! I discovered something I didn’t know about my heart health. I was referred for follow-up care. Other: Please share your success story or experience How has BHA’s screening, services, or support made a difference for you or your family? May we share your story on our website, social media, or marketing materials? Yes, you can use my name and story. Maybe, please contact me No THANK YOU!Your voice helps us inspire more people to get screened, take action, and protect their hearts.
