Share Your Perspective



Please use this form to have your pet's experience with diabetes included in the Quality of Life section. Use this link Quality of Life story ideas to open that page in a new browser window so you can see if your story includes some of the topics we would to see. Enter the information as you would like it to appear on that page. I may edit your story so it is easier for others to understand. Remember, we have international readers and readers who may not be familiar with abbreviations or slang terms.

* Indicates a required field. Your e-mail address is required so I can contact you with questions.
Your e-mail will not appear on the diabetic pet information page unless you check the 'yes' button at the bottom of this form.

After you hit the 'send info' button, your information will be sent to me and I will add the information to the page. I will send you an e-mail when your pet's information has been added.

If you omit required information or if your e-mail is not valid, an error message will pop up and you won't be able to send the information until valid information is entered.

After you submit your information you will be taken to the home page.
Your Name: *
Pet's Name:*
Species: * Cat  Dog  Other (describe below)
Gender: * Male  Female
Breed / Description:
Month/Year diagnosed:
 (estimate if unknown)
Age at diagnosis:
 (estimate if unknown)
Your story:
Your E-Mail:*
 (so I can contact you)
Display Your E-Mail?* Yes  No
Sending a photo? *
 (now or later)		 Yes  No 
Take photo from web:
 (enter URL here)

 

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A big "Thank You" to Jeff, a fellow animal lover, who created the form templates for me.
Updated August 2001
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 This site is for information purposes only.  Please consult your veterinarian.