You can use this form to tell us what consequences you have experienced as a result of medicine shortages.
“,”prompt”:Share your experience”, “contacts”:({“name”: whatsapp”, “value”:+447766780300″, “urlPrefix”:https://wa.me/”, “guidance”: https://www.theguardian.com/info/2015/aug/12/whatsapp-sharing-stories-with-the-guardian”}),”displayOnSensitive”:false,”elementId”:ef8b30a3 -c461-42a2-b311 -b1735c00f4aa”, title “Share your experiences”, “isNonCollapsible”:true,”formFields”:({“_type: model.dotcomrendering.pageElements.CalloutFormFieldBase”,”name”: “name”, id “164140490”, “hideLabel “:false,”label “Name”, “hidden”:false,”type”:text”, required”:true},{“_type static.dotcomrendering.pageElements.CalloutFormFieldBase”,”name”where_do_you_live”,”id” :164140491″hideLabel”:false,”label”Where do you live?”,”hidden”: false,”type”text”required”:true},{“_type”model.dotcomrendering.pageElements.CalloutFormFieldBase”,”name” tell_us_a_bit_about_yourself_eg_age_and_what_you_do_for_a_life”,id”:164140492″hideLabel “:false,”label “Tell us something about yourself (for example, your age and what you do for a living)”,”hidden”:false,”type”text”required”:false },{ “_type”:model.dotcomrendering.pageElements.CalloutFormFieldBase”,”name”tell_us_your_experience_of_drug_shortages_how_have_you_influenced”,description”: provide as much detail as possible”, “label”: Tell us your experiences with drug shortages. How has this affected you?”,”hidden”:false,”type”textarea”,”required”:true},{“_type”:model.dotcomrendering.pageElements.CalloutFormFieldBase”,”name”have_you_any_concerns” “, “id”:164140495″,”hideLabel”:false,”label”Do you have any concerns?”hidden”:false,”type”textarea”,”required”:false}, {“_type ‘model.dotcomrendering.pageElements. CalloutFormFieldBase’, name ‘if_you_are_happy_to_you_can_upload_a_photo_of_yourself_here’, ‘id ‘164140496’, ‘hideLabel’:false, ‘label ‘If you want, you can upload a photo of yourself here”,”hidden”:false,”type”file “,”required”:false},{“_type”:model.dotcomrendering.pageElements.CalloutFormFieldRadio”,”name”can_we_publish_your_response” “,”options”:({“label”:Yes, completely”,”value”: Yes , all the way”},{“label”:Yes, but please contact me first”,”value””Yes, but please contact me first”},{“label”:Yes, but keep me anonymous”, value”:Yes, but please keep me anonymous”},{“label”:No, this is for information only” ,”value”:No, this is for information only”}),”id”:164140497″, “hideLabel “:false,”label”: May we publish your comment?”, “hidden”:false,” type ‘radio’, ‘required’:true},{‘_type ‘model.dotcomrendering.pageElements.CalloutFormFieldBase’, ‘name ‘:phone number ‘, description ‘Your contact details are useful so that we can help you contact you for further information. They are only seen by The Guardian.”,”id”:164140498″, “hideLabel”:false,”label” “Phone number”, “hidden”:false,”type”:text”, required “:false},{ “_type ‘model.dotcomrendering.pageElements.CalloutFormFieldBase’,name ’email_address_’,description ‘Your contact details are useful so that we can contact you for further information. They will only be seen by The Guardian.”,”id”:164140499 “, “hideLabel”:false,”label”Email Address”, “hidden”:false,”type”text”, required “:true},{“_type ‘model.dotcomrendering.pageElements.CalloutFormFieldBase’,name ‘you_can_add_more_information_here ‘,’description ‘If you include other people’s names, ask them first.’,’id’: “164140500”,”hideLabel”:false,”label “You can add more information here”, “hidden”:false ,”type”:textarea”,”required”:false}),”_type” model.dotcomrendering.pageElements.CalloutBlockElementV2″,”tagName”:nl-callout-drugsshortenen”, “activeFrom”:1713398400000,”id”:853dbd84 -e7ad-40dd-b1d5-736635aafd16″,calloutsUrl” https://callouts.guardianapis.com/formstack-campaign/submit”,”formId”:5735252},”pageId”:politics/2024/apr/18/tell- us-have-you-been-affected-by -drug shortages-in-the-uk”}” config=”{“renderingTarget”:Web”,”darkModeAvailable”:false}”>
Share your experience
You can use this form to tell us what consequences you have experienced as a result of medicine shortages.