A Life Worth Living - Story Submission Form
The following is our open invitation form to submit your story to the upcoming docuseries A Life Worth Living. By completing the below you verify that you are 18 years of age or have your parents permission to participate. By submitting your story, you are not guaranteed to be featured on the show. Someone from our team will reach out based on the contact information you have provided. Based on the amount of messages we receive, please allow time for our team to review and respond. We are honored to have you along in this journey and appreciate your time in sharing your story.

*** IF YOU OR SOMEONE YOU KNOW IS IN DANGER, NEEDS HELP or IS STRUGGLING WITH SUICIDAL THOUGHTS PLEASE CALL 911 or REACH OUT TO THE American Foundation for Suicide Prevention HELP LINE 1-800-273-8255 ***
Name *
Your answer
Email *
Your answer
You are 18 years of age or have your parents consent to continue. *
Do you know anyone who has died or been affected by suicide? *
What was your relationship to this person? *
When did this happen?
Have you attempted suicide in the past? *
Do you struggle with depression? *
Do you struggle with substance abuse? *
Have you ever been bullied? *
Tell us more about you and your story.... *
Your answer
About Us:
A Life Worth Living is a 5013c non profit organization focused on bringing awareness, resource and help specific to teen suicide awareness through film, television programing and social media.
You can visit our website to stay informed at www.lifeworthlivingtoday.org
Submit
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy