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Getting Your Voice Heard Form

This anonymous form is a asafe space to share you experiences, struggles, or messages related to mental health. Nothing is required, so share as much or as little as you want. Your voice matters!


**Please avoid including names or identifying details in your answers**

When is your birthday?
Month
Day
Year
How would you describe your current mental state?
Would you like to share your story or experience with mental health?
Yes
No
Do you give permission for your (anonymous) response to be featured on the blog?
Yes
No

Thank you for taking the time to fill out this form. Hopefully, after fillnig this form out, you feel better about yourself! Please have an amazing day or night, and remember that we are here for you!

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