Takotsubo Story Template
• Please complete the template in your own words. The headings below will guide you as to the information that can be included.
• Attach the template to your email (or paste the text into the email).
• Please supply your first name for the story (or an alternate name of you would prefer not to use your own).
• Please supply an email address. This will only be used so that I may contact you once the story has been edited to get your approval to put it up online.