Petals of a Rose: Lived Experience Questionnaire
We are currently developing two film projects:
1. A full length movie or miniseries expanding on our short film, Petals of a Rose, and 
2. A documentary about the impact of misrepresentation of DID in film/TV

It is important to us for the voices and stories of those living with and treating dissociative conditions to be represented in our projects. We appreciate your willingness to share your thoughts with us and will respect your privacy. You can complete the questionnaire anonymously, or share your personal information at the end.

You can complete whatever questions you wish and skip those you prefer not to answer.

If you cannot complete the questionnaire in one sitting, you can return to complete it at another time; auto-save is turned on. 

Sign in to Google to save your progress. Learn more
What did you think about the short film, Petals of a Rose? What did you find relatable?
Was there anything in Petals of a Rose you didn’t like/wish had been done differently? 
What would you like to see depicted in a longer film/series that expands on Rose’s story in Petals of a Rose?
What’s one moment of your life (living with/supporting/treating someone with a dissociative condition) that you would want depicted in the longer film/series?
Next
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy