GrapeVine Participant Story

Thank you for being willing to share your story with us!

Your story can inspire other individuals who are going through a similar experience.
Your experience also helps us shape our program in a way that is most helpful to the people we serve and better understand challenges individuals face.

You might consider sharing things like:

What motivated you to attend a GrapeVine session?
How did the information presented improve/impact your life?
Do you have advice for others who could benefit from participation in a GrapeVine session?

1. Please share your first and last name (example: Jane Doe). *This question is required.

2. Enter your story here:
Feel free to include any details you’d like - such as when and where you attended a GrapeVine session, the health topic presented, key takeaways, changes you’ve made since attending, or what having access to this information means to you. *This question is required.

3. A picture is worth a thousand words! Please submit your photo here:

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4. I hereby give the WWHF consent to share my words and/or image. My words and/or image may be used in the following ways: Print material, E-newsletter, Social media/blogs posts/online, and/or reports. I further understand that no special compensation will be provided to me and that I may not be informed in advance of the specific use of my words or image.

If you agree, type your name below: *This question is required.

5. How would you like to be identified? *This question is required.

Please enter an 'other' value for this selection.
Please enter an 'other' value for this selection.

6. Please enter your email address below (example: janedoe@gmail.com). *This question is required.

7. Please enter your phone number below (example: 111-222-3333). *This question is required.

8. If there are any follow-up questions, which method would you prefer for a GrapeVine staff member to contact you? *This question is required.