Calmer Choice Alumni Story & Testimonial Form

Help Us Celebrate our 15th Anniversary with your Story!

Did you participate in a Calmer Choice mindfulness program at your elementary, middle or high school? Is there a memory or a particular instructor that had an impact on you? Then we would LOVE to hear from you!

Calmer Choice is celebrating its 15th anniversary in 2025-2026. To honor this milestone year, we are collecting stories and testimonials from those who have experienced our programming over the years to help showcase the impact we have had on individuals, families, and communities.

By completing this survey, you understand that your stories may be used in marketing and promotional purposes. An option to remain anonymous is offered below.

Please share the link to this survey with others who have experience in Calmer Choice programming!

For more information or questions, please contact Sarah Manion, Executive Director, at smanion@calmerchoice.org.

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* 1. Your Name (you will have the option to remain anonymous below)

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* 2. Your Email Address:

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* 3. Your Phone Number:

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* 4. Your Age

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* 5. Your Current Address:

Street

Town

State

Zip

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* 6. Gender: How do you identify?

Man

Non-binary

Woman

Prefer not to say

Prefer to self-describe

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* 7. What is your ethnicity? (Please select all that apply)

American Indian or Alaska Native

Asian or Asian American

Black or African American

Hispanic or Latino

Middle Eastern or North African

Native Hawaiian or other Pacific Islander

White

Multi-racial

Prefer not to say

Prefer to self-identify

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* 8. How did you experience Calmer Choice?

As a Student

As a Teacher or School Staff

As a Parent/Guardian

As a Community Partner

As a Funder/Supporter

Other (please specify)

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* 9. Your alumni story is a powerful way to share the impact of our organization. Please share your story about your experience with Calmer Choice. Be as detailed as possible and be sure to include your age at the time, the school or site where you experienced the program, and any other details you are open to sharing.

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* 10. What do you remember most about Calmer Choice?

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* 11. How has your experience with Calmer Choice impacted your life and/or career?

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* 12. What is your current role/profession today?

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* 13. What do you want people to know about Calmer Choice and its impact?

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* 14. Please let us know what personal data you are comfortable with us sharing alongside your testimonial (please select all that apply):

Name

Age

General Location

Gender Identity

School or Organization

None - I wish to remain fully anonymous

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* 15. We are hoping to feature stories in a range of formats. Please select the formats you would be willing to participate in with your story (select all that apply)

Voice-recording

Video-recording

Tell my story live at an anniversary event

Other (please specify)

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* 16. Is there anything else you wish to share or want us to know?

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* 17. By submitting this form, I understand that Calmer Choice may use my responses as part of their external promotions and communications. I further understand that responses may be edited slightly for spelling, grammar, and space considerations.

I grant my permission for my responses to be used.