Discovery Headbands Collection Application
First off I would like to thank you for being vulnerable and even considering sharing such personal information with me. I appreciate any information you are willing to share and I know how difficult it is to speak or write about an illness, so please at any point if it is too much, there is absolutely no pressure to continue. I only want you to share what you are comfortable with.

**I do not offer support or medical advice for your particular situation, so if you are suffering and require help please reach out to the appropriate professionals or seek medical help in your community.
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Correo *
Journey to share? This is a judgement free space and your journey and circumstances are unique.
Your journey and what you've experienced is unique to you and I would love to hear about it. You are not alone and your courage is inspiring to others.

Please do not feel your journey is invalid in anyway and all submissions will be read and considered. By sharing your journey, you are strong and I commend you for opening up to expose your own discovery.
Your First Name, Last Name *
If you were selected, would you be comfortable with one of the headband collections being named after your first name (or your loved one who passed)? If not please provide which name you (they) would prefer. (could be a nickname or middle name) *
If you were selected, would you be comfortable with a summary of your story (or loved ones story) being shared to educate others and let others know they are not alone? (Prior to disclosure, there will be much more communication back and forth between us). *
When and if you feel comfortable, please provide a summary of your (or loved ones) journey of mental illness. *
Do you grant me (Jodilynn) permission to email you if you are selected for a collection? An email will come from discoveryheadbands@gmail.com - please ensure it is this exact email to avoid any scams. *
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