Data capture template

Tell us about your loved one

We truly care about people with arthritis and by listening to our supporters' experience, it helps us to understand the full extent of how much arthritis affects people throughout their lives. And this knowledge can help guide our work as we plan for the future – a future free from the pain of arthritis.

We would love to hear about the special person in your life who is no longer with us. If you feel able to, please tell us about your loved one, and their connection with arthritis, in the space below.

Any information you share will be held in confidence.

If you would prefer to speak to our In Memory team in person, please contact Gill and Anna by telephone on 0300 790 0406 or by email [email protected].

First name

Surname

Your loved one's full name (optional)

Your relationship to them (optional)

Tell us about your loved one..........

If you are happy for Versus Arthritis to contact you in the future regarding your loved one's experience, all you need to do is let us know by ticking the box below

I'm happy to be contacted about my experience

Consent must be sought by parent/guardian if you are aged under 16. You can change your preferences or opt out at any time by calling 0300 790 0444 or emailing [email protected]. For more information on how we protect and use your personal information, please see our privacy notice: www.versusarthritis.org/privacy.