Survey - Tell Your Story - Brady Campaign to Prevent Gun Violence

HOME ABOUT BRADY ABOUT GUN VIOLENCE MEDIA INITIATIVES TAKE ACTION DONATE HERE

Tell Your Story

The Brady Center is dedicated to providing a forum where Americans of all ages can share their stories of how gun violence has affected them personally.

You choose how you want to tell your story, either in a short video vignette or by a short written essay, including photos if available.

Question - Not Required - Link us to your story (on YouTube/Vimeo/blog/website/etc)

(Maximum response 255 chars, approx. 5 rows of text)

Question - Not Required - Title of your story

(Maximum response 255 chars, approx. 5 rows of text)

*3.

Question - Required - Your personal story about gun violence. Tell a story of how gun violence has affected you, your community, school, workplace or religion. (If not included at the link above).

About You (will not be shared)

Name:

First Required	Last Required

Email: Required

Street 1: Required

Street 2:

City/State/ZIP:

City Required	State	ZIP Required

Phone Number:

Remember me. What's this?

*5.

Question - Required - Once submitted, you agree that you grant the Brady Center to Prevent Gun Violence permission to use your work, and that you own the rights to the material that is submitted. Do you agree to these terms?

Question - Not Required - Please post my story anonymously.