Shiftin' The Script Guest Inquiry

Name

Age - Must be 18+

State

Phone

Profession

Is there something specific about mental health you can speak on, that others can relate to?

In what areas has mental health affected your life? (i.e. Career, Relationships, Family, Hobbies, ect)

Do you have any advice for listeners that you have personally experiences that could help them?

Is there anything specific you want to talk about on the podcast?

When listening, is there something that you hope to learn?

Are there any specific topics or questions you would like to hear discussed or answered?

Have you been affected by

Depression Anxiety Bipolar Disorder ADHD Borderline Personality Disorder Psychosis other mental health disorders

and are ready to share your story?

We’d love to have you as a guest to share your story about your trials and tribulations with mental health, how it has affected your life, where you have been, and where you are today. Submit this inquiry form and we will be in touch for more information.

We look forward to Shiftin’ The Script with you!