First Name Last Name Email Address Phone Number Date Share your recovery story In 800 words or less, tell us your inspirational recovery story from traumatic injury. Thought starters: Briefly tell us about your traumatic injury. What happened, and what was the recovery process like? What role did mental and emotional health and well-being play in your recovery journey? Who were the key players on your support team? How did having a support team aid in your recovery? What resources helped you the most in your recovery? What gave you hope or motivation throughout recovery? What would you say to someone who is currently recovering from a traumatic injury? I would be interested in filming a video for MyTeammatesinRecovery.com Yes No I have photos, videos or other assets to share with my story for MyTeammatesinRecovery.com Yes No Confirm Accuracy* I agree that the information provided above is truthful and accurate. Consent to Use Story in Marketing and Campaign Materials* I consent to letting DePuy Synthes and Teammates in Recovery campaign partners use my story in online and offline communications materials. I agree to the terms of the DePuy Synthes Companies Privacy Policy and consent to the collection and disclosure of this information in accordance with the Privacy Policy. I agree that my information may also be used by DePuy Synthes Companies to contact me regarding my story. Read the full Privacy Policy here. I have read and agree to the Consent Form. Read the Consent Form here. Consent to Use Name* I would like for my name to remain anonymous. I agree to let Johnson & Johnson and its affiliates along with Teammates in Recovery campaign partners to use my name. If so, please input how you prefer your name to be listed. Submit Leave this field blank