Share your experiences with anxiety for a documentary film

Request edit access

JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.

Hi there, my name is Anne and I'm a filmmaker based in New York. I've created a number of independent projects about the ways people move through the world and one of the topics that's been on my mind lately is anxiety. Almost a third of adults will experience anxiety at some point in their lives and many studies are reporting the prevalence of anxiety to be on the rise, especially given the year that has been 2020.

I'm looking for a diverse range of people who are willing to share their experiences with me, for possible inclusion in a documentary film.

Please note: By completing this survey you are consenting to me contacting you about possibly including your experience in the film.

Name *

How long have you experienced anxiety? *

Less than a year

2-5 years

5-10 years

10 years +

Can you describe how your anxiety manifests itself in your life? *

For example: how frequently you experience it, what forms it takes, perhaps even describing some of the thoughts/questions/feelings that go through your mind when it occurs.

If you had to describe your experiences with anxiety visually, what would they look like?

Would you be willing to have a 30-45 minute conversation with me over the phone about your experiences?

Note: with your permission, I'd like to record this call (audio only) for possible inclusion in the documentary film.

Yes

Clear selection

Please share anything else you think I should know 🙏

Submit

Clear form

Never submit passwords through Google Forms.

This content is neither created nor endorsed by Google. - Terms of Service - Privacy Policy

Does this form look suspicious? Report

Forms