Alopecia My Way Panellist - Registration of Interest

The Alopecia My Way Panel is a firm favorite in the line up of our Big Weekend event. During this session our panelists will share some of their personal experiences of alopecia with our audience. Towards the end of the session there will be time for audience questions. This form is to register your interest in taking part in this session. You’ll need to be comfortable sharing your personal experiences and speaking in front of an audience but no public speaking experience is needed. We’re hoping to include adults across a range of different types of alopecia who have different experiences, identities and perspectives to ensure we create a panel that truly represents the many ways alopecia affects us all. Please note: We will be selecting 4–5 panellists for this session, and while we would love to include everyone, we may not be able to offer a space to all who register their interest. We’ll be prioritising those who help us reflect the widest range of experiences across the alopecia community. All selected panellists will receive a free Saturday* ticket to the event as a thank you for taking part. *(or a discount on a full weekend ticket). We will keep this registration form open until all of the positions have been filled but we encourage you to register early to avoid disappointment. You may not hear from us straight away regarding positions as we consider applications however if you have any questions about the panel session or this form please email [email protected]

Full Name (required)

Email address (required)

Phone number (required)

Date of birth (required)

What type of alopecia do you have? (required)

To which gender do you most identify? (required)

Where in the UK are you from? (required)

How would you describe your ethnicity? (required)

During this section it would be great to hear a little more about your alopecia journey in your own words.

Approximately how long have you experienced alopecia? Has it always stayed one way or has their been change over time? (required)

If you had to share two or three ’stand out’ moments from your alopecia journey so far, what would they be? These could be positive, negative, medical based, wigs, moments that changed your perspective, etc. - whatever stands out to you. (required)

Have you tried any medical treatments for your alopecia? What has your experience of the medical side of things been like? (required)

Is there anything else about your alopecia experiences that you would like to share?

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