Share your moment!

Please take a few minutes of your time to complete this form.

Describe the moment that changed your life! (A couple of sentences is recommended.)

How did the moment happen?

How old were you when this moment happened?

How old are you now?

Did you know that this moment would change your life when it occurred?

What did this moment most closely affect?

Lastly, what is your gender?

Please note that by submitting this form, you agree to have your story shared on this site and potentially on my Instagram, @themomentproject.mak, anonymously. To preserve anonymity, improve readability, or for other reasons, portions of your submission may be edited or omitted on a case-by-case basis. Any edits will be minimal and preserve the overall meaning and content of your moment.