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Sister Match Questionnaire
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Sister Match Questionnaire
WomenHeart’s Sister Match program connects women living with heart disease with trained volunteers, WomenHeart Champions – all heart disease survivors, who will provide peer support via telephone, e-mail and/or in person.

In order to provide you with quality peer support through Sister Match, please complete all of the information below:

  • Contact information:

  • --
  • --
  • --
  • //

  • Background information:

  • Preferences:

  • Please rank the following based on priority:

  • * We will do our best to find someone geographically close to you, but please note we may not have a volunteer in your area.

  • //

  • Please return by mail, fax, or email to:

    Chinenye Anyanwu
    Manager, Patient Support & Volunteer Services
    818 18th Street NW Suite 1000
    Washington, DC 20006
    fax: 888-343-0764
    canyanwu@womenheart.org
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WomenHeart: The National Coalition for Women with Heart Disease is a nonprofit, 501(c)(3) patient advocacy organization with thousands of members nationwide, including women heart patients and their families, health care providers, advocates and consumers committed to helping women live longer, healthier lives. WomenHeart supports, educates and advocates on behalf of the 42 million American women living with or at risk of heart disease. Our programs are made possible by donations, grants and corporate partnerships.

2013 Copyright - WomenHeart: The National Coalition for Women with Heart Disease
WomenHeart: The National Coalition for Women with Heart Disease is a founding partner of The Heart Truth Red Dress campaign. The Heart Truth and Red Dress are trademarks of HHS.