Mental Brilliance Story Submissions
Please use complete sentences and share your story in a conversational tone. Submissions with paragraphs for each question are preferred.
Email address *
Name *
Your answer
Location
Your answer
Occupation *
Your answer
When are you available for a Web based Podcast interview? *
Interview will be conducted through ZOOM web conference platform and will last 20 minutes. ALL TIMES LISTED ARE EASTERN STANDARD TIME.
Mental Health Issue *
Your answer
Mental Illness Diagnosis *
Tell us about your life. How old are you? Where do you live? What is it like there? What do you do professionally? What is your family life like? What do you do for fun? How do you spend your days? *
Your answer
What led you to believe that you had mental health issues? How did you react to this discovery? *
Your answer
Have you ever sought professional help for your mental health issues? If so, what was that experience like? If not, why not? *
Your answer
How does this mental health issue impact your professional goals, personal success, family life and social life? *
Your answer
Share a story about a time when you struggled to make sense of your mental health issue or struggled to overcome your mental health issue. *
Your answer
How long has it been since you first recognized your mental health issue? What have you managed to achieve since then? How did you manage your mental health issue during this time? *
Your answer
Do you believe that your mental health issue has helped you or hindered you in achieving your personal goals? Why? *
Your answer
What are you most proud of about your achievements? *
Your answer
Do you have advice for people who struggle with mental health issues? How can they learn to achieve personal success? *
Your answer
Please list your website or social media account that we can visit to learn more about your accomplishments? Please list the url here. *
Your answer
Which topics would you like to see covered on Mental Brilliance? *
Your answer
Is there a personal issue that you would like wisdom and clarity on? How can I help you to become more successful in your daily life? *
Your answer
By submitting your story you give MentalBrilliance.Com the right to publish, edit and promote your story on any platform, in a future publication and in marketing efforts. *
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