Create Your Success Story

People of all ages and physical conditions benefit from exercise and physical activity. To encourage older Americans to become more active, the Go4Life website features success stories of diverse older adults and the activities they enjoy. If you are age 50 years or older and exercise regularly, we invite you to send us your story and a photo or short video of you exercising for the Go4Life website.

Go4Life is a U.S. Government website for older adults that provides reliable health information, exercises, motivational tips, and free materials to help you fit exercise and physical activity into your daily life. Staff from the National Institute on Aging (NIA), part of the National Institutes of Health, developed this site.

By filling out the form below, you are giving NIA permission to use and disclose the information you submit on the Go4Life website and for any future purposes. If you would prefer to send us your story in the mail, you can download the form, which also contains the mailing address and instructions.

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In your story, be sure to include:
  • What kind of exercise you do and how often
  • Why you are physically active and how long you’ve been active
  • How exercise and physical activity have helped you

1000 character limit
* = indicates required field


Maximum file size: 2 MB
Allowed extensions: png gif jpg jpeg
Images larger than 400x300 pixels will be scaled

Select an image from your computer
Maximum Filesize 2 MB
Allowed Extensions: png gif jpg jpeg
Images larger than 400x300 pixels will be scaled
Image shown in story review may not depict final image appearance on site.


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