Me, Myself & I | Documentary Contributor Questionnaire
ONE PERSON. ONE STORY. THEIR WORDS.
Everyone has a story. This is your opportunity to tell yours.
Me, Myself & I is an original documentary series created by WalknTalk and filmed and produced by Through The Neuro Lens.
We invite people aged 18 and over to share their personal experiences, life journeys and the moments that have shaped who they are.
This questionnaire contains 32 optional storytelling questions. Answer as many or as few as you feel comfortable with. There are no right or wrong answers.
Your story. Your voice. Your choice.
Completing this questionnaire does not commit you to filming or publication. Any interview or public release will be discussed separately.
SECTION 1: CONTRIBUTOR INFORMATION
Please confirm that you are aged 18 or over
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SECTION 2: PLEASE TELL US YOUR STORY
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Please tell us your story.
In your own words, tell us about yourself, your life experiences, the challenges you've faced and the moments that have shaped who you are.
You can start wherever feels right. There is no right or wrong way to tell your story.
Share only what you feel comfortable sharing.
QUESTION 01: GETTING TO KNOW YOU
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Tell us about yourself. Who are you beyond any labels, challenges or diagnoses?
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Question 2 of 32: Getting to Know You
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What people, interests, places or activities are important in your life?
Question 3 of 32: Getting to Know You
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How would your friends or family describe you, and how would you describe yourself?
Question 4 of 32: Getting to Know You
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What are some of your happiest memories or proudest achievements?
Question 5 of 32: Your Personal Journey
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What is the main experience or part of your life you would most like this documentary to explore?
Question 6 of 32: Your Personal Journey
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Which events or experiences have shaped the person you are today?
Question 7 of 32: Your Personal Journey
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Would you like to tell us anything about your childhood or upbringing?
Question 8 of 32: Your Personal Journey
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What challenges have been important in your journey, if any?
Question 9 of 32: Your Personal Journey
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How have these experiences influenced your everyday life?
Question 10 of 32: Your Personal Journey
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What would you like people to know about how you experienced these moments?
Question 11 of 32: What Others May Not See
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Is there a side of your life or feelings that people rarely get to see?
Question 12 of 32: What Others May Not See
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Have you experienced being misunderstood? What would you like people to understand?
Question 13 of 32: What Others May Not See
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Is there something you have never had the opportunity to explain in your own words?
Question 14 of 32: What Others May Not See
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Is there anything about your experiences that you worry others may misinterpret?
Question 15 of 32: Life, Relationships and Turning Points
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Who or what has had an important influence on your life?
Question 16 of 32: Life, Relationships and Turning Points
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Have there been moments that changed your direction, beliefs or sense of self?
Question 17 of 32: Life, Relationships and Turning Points
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How have your experiences affected relationships or connections with others, if at all?
Question 18 of 32: Life, Relationships and Turning Points
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What has supported you, given you strength or helped you cope?
Question 19 of 32: Life, Relationships and Turning Points
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Where are you in your journey now, and what are your hopes for the future?
Question 20 of 32: Your Voice and Message
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Why would you like to share your story in a documentary?
Question 21 of 32: Your Voice and Message
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If your documentary could communicate one thing about you, what would that be?
Question 22 of 32: Your Voice and Message
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What would you most like viewers to understand or remember?
Question 23 of 32: Your Voice and Message
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If somebody recognises their own experiences in your story, what would you like to say to them?
Question 24 of 32: Your Voice and Message
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Is there anything we have not asked that you would like to include?
Question 25 of 32: Filming and Your Boundaries
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Are there any subjects you do not want to discuss on camera?
Question 26 of 32: Filming and Your Boundaries
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Are there sensitive subjects you would like the interview team to approach particularly carefully?
Question 27 of 32: Filming and Your Boundaries
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What would help you feel comfortable during the interview (for example, breaks, access needs or receiving prompts beforehand)?
Question 28 of 32: Filming and Your Boundaries
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Are there photos, video clips, places or personal objects that might help tell your story, if you later choose to share them?
Question 29 of 32: Final Reflections
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What do you wish someone had asked you about your experiences?
Question 30 of 32: Final Reflections
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Is there a part of your story you would rather discuss in person than write down?
Question 31 of 32: Final Reflections
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What is something you have learned about yourself that feels important to share?
Question 32 of 32: Final Reflections
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How would you like people to remember your story after watching the documentary?
SECTION 3: CONTRIBUTOR ACKNOWLEDGEMENT & PRIVACY
YOUR STORY. YOUR VOICE. YOUR CHOICE.
Thank you for considering sharing your story with Me, Myself & I, an original documentary series created by WalknTalk and filmed and produced by Through The Neuro Lens.
We understand that sharing personal experiences can be emotional and deeply personal.
Please remember:
You can choose which questions to answer.
You do not have to share anything you feel uncomfortable discussing.
Completing this questionnaire does not commit you to taking part in filming.
Any filming arrangements will be discussed with you separately.
Your story will not automatically be published because you complete this questionnaire.
Separate permission will be sought before your interview or personal story is included in a publicly released documentary or book.
Your wellbeing, dignity and personal boundaries are important throughout this process.
Your story belongs to you.
You decide what you are comfortable sharing.
YOUR PRIVACY & PERSONAL INFORMATION
At WalknTalk, we take your privacy, dignity and trust seriously. We understand that sharing your personal story can be a deeply emotional and sensitive experience.
As part of Me, Myself & I, you may choose to share information about your mental health, neurodiversity, relationships, personal challenges and life experiences.
We are committed to treating the information you provide with respect, care and confidentiality, subject to the circumstances explained in our Privacy Notice.
Your information will only be used for the purposes explained in this questionnaire.
Completing this form does not give WalknTalk permission to film you, publish your story or include your experiences in a documentary or future book.
Separate permissions will be requested before any such use.
And your privacy matters.
I confirm that I have read and understood the contributor acknowledgement above. I understand that completing this questionnaire does not give permission for filming or publication.
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PRIVACY NOTICE: HOW WE HANDLE YOUR PERSONAL INFORMATION
WalknTalk respects your privacy and understands that the information you share may be deeply personal.
This questionnaire is intended to help us understand your story and explore whether you would like to participate in Me, Myself & I.
Your answers may include information about your mental health, neurodiversity, personal experiences and other sensitive matters.
We will not treat completion of this questionnaire as permission to film you, publish your story or include your experiences in a book. These activities will require separate discussions and appropriate permissions.
Before submitting your answers, you will be provided with further information about how your personal data is collected, used, stored, protected and deleted, including your rights and how to contact us about your information.
WHO IS RESPONSIBLE FOR YOUR INFORMATION?
WalknTalk – Mental Health & Wellbeing Support currently operates as an unincorporated community group while its application to become a Charitable Incorporated Organisation (CIO) is in progress.
WalknTalk is responsible for organising the Me, Myself & I documentary project and managing its contributor questionnaire.
For questions about how your personal information is handled, please contact:
WalknTalk – Mental Health & Wellbeing Support
Email: info@walkntalk.org.uk
Website: www.walkntalk.org.uk
Documentary website: www.walkntalk-memyselfandi.org.uk
HOW WE USE YOUR PERSONAL INFORMATION
The information you provide through this questionnaire is intended to help WalknTalk:
Understand your personal story, experiences and life journey.
Consider whether you may wish to participate in the Me, Myself & I documentary series.
Contact you about your questionnaire and possible participation.
Arrange an initial conversation or interview, if you choose to proceed.
Your questionnaire answers will not automatically be published, shared on social media or included in a documentary or book.
Any future use of your personal story for filming, publication or a book will be discussed separately, with appropriate permissions obtained beforehand.
We will only collect information relevant to these purposes and will not use your answers for unrelated marketing.
YOUR CHOICE AND CONSENT
Taking part in the Me, Myself & I contributor questionnaire is entirely voluntary.
Some questions may invite you to share sensitive personal information, including experiences relating to mental health, neurodiversity, disability or other aspects of your life.
You can choose which storytelling questions to answer and leave any question blank if you do not feel comfortable responding.
Where WalknTalk relies on your consent to process personal information, including explicit consent for special-category information, we will explain what you are agreeing to and ask you to make a separate, clear choice.
You may withdraw consent by contacting info@walkntalk.org.uk.
We will explain any limits to withdrawal and how it affects information already processed.
Consent to process questionnaire answers is separate from permission to participate in filming or to publish your story in a documentary or book.
HOW WE STORE AND PROTECT YOUR INFORMATION
WalknTalk recognises that contributors may share highly personal and sensitive experiences through the Me, Myself & Iquestionnaire.
We aim to protect this information by limiting access to authorised individuals who need it for the documentary project.
The questionnaire is being created using Tally, an online form platform.
Information submitted through the form will be processed using Tally's services.
Before collecting responses, WalknTalk will confirm the security arrangements, where information is stored, whether any international transfers take place, and how long information will be retained.
We will also establish procedures for securely accessing, retaining and deleting contributor information.
Further details will be included in the completed privacy notice before the questionnaire is made available to contributors.
HOW LONG WE KEEP YOUR PERSONAL INFORMATION
WalknTalk will only keep personal information collected through the Me, Myself & I contributor questionnaire for as long as it is necessary for the purposes explained in this privacy notice.
We recognise that contributors may share sensitive and deeply personal information.
Before accepting submissions, WalknTalk will establish a clear retention and deletion policy covering:
Questionnaire responses from people who do not proceed with the documentary.
Information belonging to contributors who participate in filming.
Requests to withdraw consent or delete personal information.
Secure deletion of information that is no longer required.
Where information must be retained for legal or other legitimate reasons, contributors will be informed of the applicable arrangements.
The final privacy notice will explain the specific retention periods or criteria used to determine them.
YOUR DATA PROTECTION RIGHTS
Under UK data protection law, you have rights concerning your personal information.
Depending on the circumstances, these include:
Right to be informed: To understand how and why your information is collected and used.
Right of access: To request a copy of the personal information we hold about you.
Right to rectification: To ask us to correct inaccurate or incomplete information.
Right to erasure: To request deletion of your personal information in certain circumstances.
Right to restrict processing: To ask us to limit how your information is used in certain circumstances.
Right to data portability: To receive certain personal information in a reusable format where this right applies.
Right to object: To object to certain uses of your personal information.
Where we rely on your consent, you can withdraw that consent at any time. Withdrawal does not affect processing that was lawful before consent was withdrawn.
To exercise your rights or ask questions about your information, please contact:
Email: info@walkntalk.org.uk
You also have the right to complain to the Information Commissioner's Office (ICO), the UK's independent data protection regulator.
Website: www.ico.org.uk
WHO WE SHARE YOUR INFORMATION WITH
WalknTalk understands that contributors may share deeply personal and sensitive information.
Access to questionnaire responses will be restricted to authorised individuals who need the information to organise and prepare for the documentary.
We use Tally to collect questionnaire responses.
Tally and any relevant service providers may process personal information on our behalf.
We will not automatically share your personal story publicly or with documentary audiences.
If you choose to proceed with filming, we will explain who may access your information, recordings and transcripts, including any production partners.
Separate agreements will be required before your story is published in a documentary or book.
Before the questionnaire is made available, we will confirm which organisations process contributor information, their roles and any applicable international data transfers.
CONSENT TO PROCESS SENSITIVE PERSONAL INFORMATION
I understand that my answers to this questionnaire may include sensitive personal information, including information about my physical or mental health, neurodiversity, disability or personal experiences.
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I explicitly consent to WalknTalk collecting, storing, reading and using any sensitive personal information I voluntarily provide for the purpose of reviewing my potential participation in the Me, Myself & I documentary project and contacting me about it.
Completing this questionnaire does not give permission for filming or publication.
Separate permissions will be required for documentary filming, public release and any future book.
I can withdraw my consent by contacting
info@walkntalk.org.uk.
I can choose not to submit the questionnaire if I do not agree.