Media Volunteer Form

| Resume a previously saved form
Resume Later

In order to be able to resume this form later, please enter your email and choose a password.

Please tell your story and how you have been affected by cervical abnormalities or cervical cancer. You may like to use the following bullets as a guide – though please feel free to include whatever you feel is relevant.
  • If you delayed/missed your screening, the reasons why (eg. your surgery only had a couple of appointments available, you find the test painful, you had a previous bad experience)
  • How cervical abnormalities or cervical cancer has affected your life (emotionally and physically). Points you might want to touch on include:
    - Sex and intimacy
    - Side effects of treatment e.g. menopause, lymphoedema, bowel/bladder damage, fertility, depression etc.
  • How your diagnosis affected a loved-one
  • Symptoms past and present
  • How Jo's Cervical Cancer Trust has helped you
  • The positive aspects to your story e.g. new relationships, change in career
  • Treatments and surgery
  • Anything else that you feel is important to your experience

We want to see cervical cancer become a disease of the past. With your help, we can make this a reality. We’d love to stay in touch with you to tell you about our latest campaigns, research and the ways that you can support our vital work. We’ll keep your details safe and we promise to never swop or sell them. If you change your mind and want to stop hearing from us or want to change the way you hear from us, please contact us on 020 3096 8100 or Please see our Privacy Policy for more information.

Need assistance with this form?