Care Packages and Programs
Support our Mission
CRMO Awareness Products
Each care package is created especially for you, based on your likes/interests, types of treatments you are receiving, etc. Please answer the following questions as best you can and provide any additional information that may help me get to know you more so that I may personalize your care package just for you.
Indicates required field
How did you hear about us?
CRMO Facebook Page
When were you diagnosed with CRMO?
What is your age?
What is your gender?
What are your favorite colors (check all that apply)?
Any favorite TV/movie characters, superheroes or others?
What do you like to do in your spare time? Hobbies?
If you enjoy hobbies that involve an electronic device, i.e., downloading music, playing games, apps and/or electronic books, what type of device do you do this on, i.e., Apple, Nook, Android, XBox, etc.?
What are a few of your favorite animals?
What are your favorite candies, snacks or treats? Any food allergies or special dietary considerations?
Do you collect anything? If so, what?
Do you get infusions or injections? If so, are these painful for you?
When you have pain, what helps to distract you?
What size t-shirt do you wear?
Anything else you would like to tell me about you?
Would you be interested in paying it forward at some point? If yes, may I send you information regarding ways you can help us continue to send care packages to those newly diagnosed?
Please provide your contact information (where you would like the package mailed):
Name of Recipient
Please check the box below to confirm that you authorize Kaila's Komfort to use your testimonial and/or photos on our website, Kaila's Komfort Facebook page, and any promotional materials. We would never share personal information, i.e., name, address, email address. If you have any stipulations on the use of your story/photos, please note them in the Comment box below.
Proudly powered by