Share your story

  • Share your story

  • Shared stories of lived experience have the potential to guide and inspire others on the journey of improving mental and physical health.

    When sharing, we encourage you to highlight the processes, strategies, or moments of success that supported your recovery, these can be incredibly powerful.

    While this is your personal story and we deeply respect your voice, your story may be edited to ensure the language and content is safe, respectful, and in consideration of everyone.  No story shall be published without your approval.

    The stories will be shared on the Equally Well website, quoted in our publications or used in our campaigns. 

    Your name will not be disclosed without your permission, you are welcome to use a pseudonym if you would prefer.  We only require your details in case we need to clarify details and for your approval.

  • Format: 0000-000-000.
  • I have a lived experience as a consumer or carer?*
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  • Thank you, a team member from Equally Well shall be in contact.

  • Equally Well values your participation in supporting our work and, where relevant, sharing your expertise and experiences. Your participation is voluntary, and you may withdraw at any time. You can change your consent at any time by contacting Equally Well.

    Acknowledgements:

    1. I understand this consent and release form covers written or verbal testimonials or quotes, audio/sound recordings, video footage or photographic images, which could be used in a range of materials including media publicity, editorial features, web displays, general displays, advertising and/or marketing publications – in print or online.
    2. I understand Equally Well publications, reports, and other printed media may be added to the Equally Well website or social media. This means that if your photo is used on a brochure or booklet it might be available and accessed by people online, on social media, or may be distributed by email.
    3. I understand that publications may be added to Equally Well websites and social media channels, and that information on the internet can be available indefinitely and shared by people outside of Equally Well.
    4. I understand that all rights, title and interest in or relating to the Materials, including copyright, vests in and remains the property of Equally Well absolutely for their own use.
    5. I understand that I can contact Equally Well at any time to change or cancel this consent and that any publications produced after that time will reflect this. Publications already in circulation may not be able to be changed or taken out of distribution.
    6. I waive any interest that I may have in the Materials now or at any future time and acknowledge that I am not entitled to receive any payment or other consideration in respect of any use of the Materials.

  • Consent Details:

    1. I consent to my photograph, video, audio recordings and/or comments being stored electronically and published by Equally Well in print publications and online.

  • I consent to my photo and/or story being identified with me in the following way:

  • Type a question*

  • I confirm that I have read and understood this form, and provide consent to the free and unrestricted use of the Materials by Equally Well.

  • Date*
     - -

  • Privacy Statement:

    Your name and contact details are collected on this form in order to have a record of your consent to the taking of and use of the Materials and to be able to contact you about these if necessary. Your contact details will not be published or disclosed without your consent, unless authorised or required by law.

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