First Name *

Last Name *

Title, Affiliation

Bio *

Include 1 biographical sentence or a paragraph or share a link to a bio online for us to use.

Website?

Instagram account?

Facebook page?

Twitter acccount?

How did you become involved with NAMI? *

Please share the origin story of the book in a sentence or paragraph. *

Finish this sentence: The NAMI book is for __________. *

Can you tell us in a sentence why you believe it is so critically important for us to improve mental health care and support for our communities?

What do you personally do to take care of your mental health? Can you share one or more of your self-care activities?

What gives you hope for the future?

What are you pronouns?

Photo

Click or drag a file to this area to upload.

We will use this to promote the event. Please let us know if we need to provide a photo credit.

Link to photo?

If you don’t upload a photo, can you share a link to a photo online we have permission to use?