Your name

Email address

Local town/city

Telephone/mobile number

Can you tell us what happened on the day you had your cardiac arrest?

Who was there and what help did you receive?

What was your recovery like after your cardiac arrest?

How are you now, and what would you like people to take away from your story?

By ticking this checkbox, you consent to Resuscitation Council UK using the contact information you have provided to contact you about your story.

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