First and last name *
Partner's first and last name *
Email *
Phone Number *
Age *
City/State *
Link to Instagram, Facebook or TikTok (if you do not have one, put "none") *
Approximately what month/year did you discover your partner's affair? *
How long have you been with your partner? *
Are you married? *
Provide an overview of the infidelity and how it impacted your relationship with your partner. *
Do you have any unanswered questions about the affair?
How did you hear about our casting?