If you would like to submit a true account of your work experiences ("your story") below, please first read our Healthy Work Campaign Share Your Story Terms & Conditions.
By submitting this form, you consent to our using your story, in full or in part, on our Healthy Work Campaign website, healthywork.org
, in our promotion of our website on our social media channels, and anonymously in our "Healthy Work Now" articles on Medium.com.
Also, if you are interested in being interviewed (see below), we will ask you to sign a release form giving your approval to use your story in our documentary.
We will never share your personal information, with the exception of your first name and state of residence, should you choose to provide those.
We will only send information related to "Working on Empty" as you consent to per the settings below.