Tell Us Your Story …

The many heart-warming stories people share about their HeartMath experiences inspire us each day as we deliver programs, conduct research and carry out our commitment to heart-based living. Our new electronic newsletter seemed a perfect opportunity to give all of you a chance to share your experiences. So, whether you’ve transformed your stress with the emWave^® handheld, strengthened a relationship by learning to truly listen or overcome your test anxiety, let us know. As space permits, we’ll print it here and perhaps you’ll inspire others to begin connecting with their own hearts today.

Submission Form: Tell Us Your Story …

Thank you for sharing your HeartMath experience. We know others will appreciate and benefit by your words. Fill out the form below, write your story, sign electronically and e-mail it to us, or call the Story Line toll free – (800) 450-9111, (ext. 700) – and follow the prompts, being sure to give us your verbal permission to use your information.

* All fields required
* First Name:
* Last Name:
* E‑mail Address:
Where do you live?
* City:
* State/Province:
* Country:
What do you do – occupation, student, etc.?
* Tell Us Your Story … (Limit set at 1,000 characters – approximately 250 words. Material is subject to minor editing to correct errors.)
* By clicking here I grant permission to the Institute of HeartMath®, HeartMath organizations and companies, including HeartMath LLC® and Quantum Intech Inc., to use all or any portion of the information I have submitted here and without any form of compensation for their publications, promotions, presentations and products. I further release the HeartMath companies and their agents, employees, contractors, licensees, and assigns from any and all claims that may arise from use of this information.
Send Your Photo (Optional) There are two ways you can send us your photo (headshots only, please) to be used with your story: • To upload your photo: Use the Browse… button to select a file on your computer. (Your photo will be sent when you submit this form.) • To send by regular mail: Select the checkbox on the right and mail your photo to the address below. I will send my photo by regular mail. Institute of HeartMath Tell Your Story … Photos 14700 West Park Avenue Boulder Creek, CA 95006