Share Your Story – Eat Smart, Move More, Prevent Diabetes

Name *

First

Last

Email *

Subject

Your Story *

Would you like this story to remain anonymous?

No
Yes

Attach a photo to go with your story (optional)

Click or drag a file to this area to upload.

By submitting this form/survey, I understand that I am authorizing representatives from North Carolina State University to use my written statement, and if included, photograph, for purposes that may include, but are not limited to, websites, publications, and slide shows. I hereby waive rights entitled by law to assert against the University.