---
title: Participant Intake
description: Reflection Recovery is documenting participants that are introduced to Reflection in order to continue development and showcase its efficacy.
---

Reflection Recovery — Participant Intake

[![Reflection Recovery](https://www.reflectionrecovery.org/hs-fs/hubfs/reflection%20logo-1.png?height=64&name=reflection%20logo-1.png)](https://www.reflectionrecovery.org?hsLang=en)

Reflection Recovery

# Take part in the documentary

Where you stand determines what you see.

We are filming participants, by age demographic, either one-on-one or in a group panel, to share, in their own words, their experience with Reflection. Submitting this form does not guarantee selection. We will follow up if you are invited to take part.

**Compensation** One-on-one: $100 total per individual, plus an ePub copy of the book, for 2 sessions of 30–40 minutes each. Payment is made after completion of both sessions. The ePub copy is delivered on confirmation of your appointment.

 Group session: $250 per participant, for a single 4-hour session, up to 10 participants per book study. Payment is made after completion of the session. The ePub copy is delivered on confirmation of your appointment.

*All sessions scheduled as funding permits.*

## What you will be asked

Your name and contact details, where you are located, why you want to take part, and your consent. A reference code is generated for you automatically — it is the private link between your inquiry and anything you submit afterwards. Please keep it.

## Please read this before you submit

Participation is voluntary. You can skip any question, stop filming at any time, or withdraw afterwards by contacting Dixon@reflectionrecovery.org, without giving a reason.

This is not medical care, therapy, counselling, or a clinical study, and it does not diagnose or treat any condition. Reflection is a practice-based method, shared through a book, essays, and conversation.

Taking part does not guarantee any particular result, and we do not promise that you will experience a change, or experience one quickly.

You will not be asked to share a diagnosis, treatment history, drug-use specifics, trauma details, or a days-sober count, on this form or on camera, unless you choose to volunteer something yourself — and you do not have to.

How you are credited, and how any footage is used will be confirmed in the detail stage after selection.

Separate written agreements/releases will be required before filming. This form alone does not give permission to film or publish you.

Sessions are scheduled as funding permits. Submitting this form, or being selected, does not guarantee a session will be scheduled, or a payment will be made, if funding is not available at that time.

By submitting this form, you confirm you are 18 or older, and you have read and understood this disclaimer.

[Start the intake →](https://forms.reflectionrecovery.com/197743)

Thank you for your interest. Submitting this form does not guarantee selection.  
*Your life is worth more.*