Nomination Form

Welcome to the Smile For ME nomination form. Thank you for taking the time to nominate an ME sufferer or carer to receive a Smile.

This nomination form on average takes 8 minutes to complete. You may stop and resume the survey whenever you wish. Survey Monkey stores a cookie in each respondent's web browser to save progress on a survey. As long as cookies are enabled and stored on your web browser you may exit the survey at any time without losing your answers.

The information you supply is confidential and will only be used for the purpose of meeting the aims of Smile For ME. We appreciate sharing aspects of ME can be difficult for some people and being affected by ME ourselves we do understand, however as a registered Charity we have to ask certain questions to meet our criteria. You can read our Privacy Policy here, and our FAQ here.

We do require a contact detail to be able to send a Smile so we are able to keep you up to date with the process of the Smile. If we do not have permission to contact you regarding your nomination we are unfortunately unable to send a Smile. We keep contact at a minimum. Once to let you know if your nomination has been accepted or declined. Then once more, if your nomination has been accepted, to let you know it has been posted.

If you have any questions please contact us: smileformecharity@gmail.com