Transforming Broken Wings (working title)

See our webpage at: www.interculturalroots.org/project/transforming-broken-wings

'artists supporting artists'

For artists and practitioners over the age of 18 years with Disabilities, Chronic Illnesses or Injuries. 

Transforming Broken Wings (working title) is being proposed and developed as a supportive international and interdisciplinary art network, where artists and practitioners with disabilities, chronic illnesses or injuries can give and receive transformative help, as they also contribute to make, share or facilitate art work with others. TBW was initiated in Feb 2023 by Krisztina Ferencz and members of 'Growing Intercultural Roots in Communities' and is being supported by Intercultural Roots for Public Health (UK Registered Charity Number 1179885 that operates world wide).

This questionnaire is intended to survey the collective needs of potential TBW members so that we can apply for funding, resources and support to plan and better support the network.  Should you opt-in, your preferred name or nickname and email address will be used to add you to our online Basecamp platform that allows asynchronous conversation and access to shared resources and planning tools.  It will also help us plan for the best time of the week for most people to attend future online meetings and to add you to the Zoom meeting schedule, with meetings recorded as appropriate and shared on our Basecamp platform for those who can't attend.

TBW aims to offer:

  • Creative Health / Arts & Health activities
  • Re-activation & artistic skills development
  • Back to Art – collaborative opportunities for co-creation, publication & performance
  • Networking & communication
  • Links to local organisations who support disabled artists
  • Surveys to help identify and address the needs of our community
  • Opportunities, guidance and support to apply for Open Calls & funding
  • Training and development opportunities
  • Volunteering opportunities
The only questions in this survey that are required are your email address and whether you wish to be added to our network and newsletter. You may ignore any other questions you do not wish to respond to. The collective information we gather from this survey will be shared anonymously, your individual response will be confidentially saved by Intercultural Roots for internal use only and not made public.

If you have any questions or difficulties completing this form please Contact Us or call / message us on ‭+44 7709 508932‬ (telephone / WhatsApp - Charges may apply)
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Email *
Your email address? (double check)
We ask you to re-enter your email address as it may be our only way to contact you and is therefore important.
Full Name and (optional) Pronouns?
Nickname or name you prefer to be called?
Phone number for text messaging / WhatsApp - please include international dialling code?
for example for UK: 00 44 7537 177439 or +44 (0)7537 177439, for CA: ‭+1 (604) 612-1744, for Ghana‬: +233-30-223 3669
Ways of communicating you use? (tick all those you prefer)
If you tick WhatsApp you are giving us permission to potentially add you to a WhatsApp Group for the TBW network. 
What times of the week (London, UK Time) would you be available for a regular Zoom call? (please tick all that you are available for)
Your age category? (Note: this project is for over 18's only)
Clear selection
How Do You Gender Identify?
Clear selection
Nationality or country of heritage you most closely associate with?
Country of residence?
How would you best describe your ethnicity and race? (optional - or you can say 'Don't know')
What language(s) do you speak or communicate in fluently?
Are you an artist?
Clear selection

If so, which mode of art making do you practice?

Do you see yourself more as an artist, art facilitator or both?

Clear selection

Do you identify as disabled, having a chronic illness, or as injured? (you can tick more than one)

If so, which best describes your disability, chronic illness, or injury? (you can tick more than one)

Please note that we understand how difficult it is to include all the possible conditions that exist and the issues of labelling and multiplying factors. By offering this limited list however the collated results will be useful for understanding our group needs around specific conditions and for presenting to funders etc.
If you ticked 'other' please identify below:
How do your disabilities, chronic illnesses or injuries impact you? (you can tick more than one)
What level of care do you require?
Clear selection
What creative process do you use to help you cope day to day?
Do you respond better to verbal or non-verbal form of therapy?

Clear selection
What support/advice do you feel you need?'
Do you have any other needs at the moment or in the immediate future?

If you currently receive support as a disabled, chronically ill, or injured artist from any organisations, please say which one(s) or write 'none'?

If you are currently part of a network for disabled, chronically ill, or injured artists please say which one(s) or write 'none'?

What makes or would make you feel inspired or invigorated?  (you can tick more than one)
If you ticked 'other' please specify:

Would you like to join the Transforming Broken Wings network and subscribe for the following:

If you might be interested in Volunteering to support Transforming Broken Wings, which knowledge, skills or experience would you like to contribute?
Are you financially able to donate to contribute towards the costs of supporting Transforming Broken Wings? (If you tick 'Yes' or 'Maybe' we will personally contact you to discuss)
Clear selection
Any other comments?
Thank you for completing this survey. When you press Submit you may be required to validate and press Submit again.  Please check that you receive a confirmation email from Google before closing. 

If you have any questions or difficulties completing this form please Contact Us or call / message us on ‭+44 7709 508932‬ (telephone / WhatsApp - Charges may apply)
We will be in touch as soon as possible.
Image Credits:
Butterfly by beckett-ruiz (Royalty free by UnSplash)
Small mosaic tiles pattern forming a Tree of Life background Mosaic by LRafael (Licensed to Intercultural Roots)
A copy of your responses will be emailed to the address you provided.
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