Record Your Story - AMEND USA

Please review and answer the questions below to guide your video recording. Please submit your video recorded story of approximately 3 minutes via the form below in .mp4 format. Please do not include the name of specific doctors or clinicians, though you are welcome to include the name of hospitals or institutions. Thank you for sharing your story with us.

Tips for sharing your story

Creating a video for your story is a simple, straightforward process. We’ve listed some tips below to help you create your video using your phone.
1. Shoot with your phone upright instead of horizontal. This makes formatting easier for uploading your video.
2. Check your camera’s resolution
  1. For iPhone
    1. Open the main Settings app (the gear icon).
    2. Scroll down and tap Camera
    3. Tap Record Video
    4. Select 1080p at 30 fps (frames per second) or 1080p at 60 fps
  2. For Android
    1. Open your Camera app
    2. Tap the Settings gear icon (generally top corner)
    3. Look for Video Resolution, Rear Video Size, or Advanced Video Options
    4. Select FHD or 1080p at 30 or 60 fps (frames per second)
3. Put yourself in the center of the shot. You are the star and we want to make sure we get to share your story with you in it!
4. Try to answer one or two questions from the guide and keep the video to 2 or 3 minutes. It is okay if you go over, but we may edit your answers to keep within the time limits.
Questions for sharing your story
1. What type of MEN or other condition are you living with?
2. Please describe your journey. What challenges did you face, what helped you overcome them, and how are you doing today?
3. How has AMEND USA supported or impacted your journey?
4. What would you tell someone who just got diagnosed?

First Name *
Last Name *
Street Address
Apartment, suite, etc
City
State/Province
ZIP / Postal code
Country
Email Address *
Phone
Social MediaPlease input your social media information so we may tag you when your story goes online.
Please indicate how you would like your identity to be displayed publicly. *
Rights Verification *
By checking this box I certify that I have read the Participant & Publication Rights, enumerated below, understand my rights, and agree to the terms listed and that I am age 18 or older.

Voluntary Participation I understand that sharing my story is entirely optional. Choosing not to sign this form will have zero impact on my eligibility for programs, support groups, or medical resources offered by this organization.

Right to Review: I have the right to request a review of the final edited text version of my story before it is published externally.

Right to Revoke: I can cancel this authorization at any time by sending a written notice to info@amendusa.org. I understand that while the organization will immediately stop using my story in new materials and take down digital posts, it cannot recall print items already distributed or media already published.

Publishing Rights: By submitting content, you grant AMEND USA a non-exclusive, royalty-free license to use, publish, and edit your submission in any format for our organizational purposes.
Upload fileUpload your .jpeg, .png, and .mp4 files here

Tips for sharing your story

Questions for sharing your story