We are going to ask you some questions about using your video, photo or words.
"[NAME OF PROJECT]"
You might like someone to help you think about and answer these questions?
The Bild Group is made up of three charities: Bild (The British Institute of Learning Disabilities); Bild ACT (Association of Certified Training) and the RRN (Restraint Reduction Network).
Bild is a charity that protects and supports the rights of people with learning disabilities.
We do this by working with organisations to show them how to give good support to people. This might be through:
Training
Conferences or events
Projects and other work
The Restraint Reduction Network (RRN) is a registered charity which tries to reduce the use of restrictive practices.
The RRN is a group of organisations and people who work together to share their work.
RRN has a set of standards and uses some practical tools to help organisations.
Bild ACT is a charity, which gives a certificate for good training about using restrictive practices.
It makes sure that people are treated with respect. If an organisation gets a certificate it means they use the RRN Training Standards.
Which of the three charities are you happy to work with?
Bild
Restraint Reduction Network
Bild ACT
Please tick as many boxes as you need
What is your name?
How do you like us to get in touch with you?
Email
Phone
WhatsApp Message
Other
Please tick as many boxes as you need
Other:
Can we get in touch if we have questions about your photo, video or words?
Yes
No
What is your email?
What is your phone number?
What is the name of the person or people supporting you with these questions today?
Did you work with us on a video, words or photo?
Video
Words
Photo
Please tick as many boxes as you need
Have you seen your video, words or photo?
Yes
No
What is the name of your video, words or photo that we are talking about in this form?
What did you like about it?
What did you
NOT
like about it?
We are now going to ask you some questions about
how
and
where
we can use your video, words or photo
Can we share your video / photo / words on LinkedIn?
Yes
No
Please watch the video to find out more about LinkedIn
Can we share your video / photo / words on Twitter/X?
Yes
No
Please watch the video to find out more about Twitter/X
Can we share your video / photo / words on Facebook?
Yes
No
Please watch the video to find out more about Facebook
Can we share your video / photo / words in Bild, RRN or Bild ACT Training?
Yes
No
Please watch the video to find out more about our training
Can we share your video / photo / words on our websites?
Yes
No
Please watch the video to find out more about our websites
Can we share your video / photo / words at our conferences and webinars?
Yes
No
Please watch the video to find out more about our conferences and webinars
Can we share your video / photo / words to tell people about our work (marketing)?
Yes
No
What name would you like us to use with your video / photo / words?
My real name
A pretend name
No name
Tell us exactly what name you would like us to use
If you change your mind and want us to remove your photo, words, video we can. But please remember, once things are on the internet, people may already have saved them, or taken copies or screenshots of information. We have no control over this.
I understand what this means
I don't understand what this means
Would you like us to contact you in the future to check you are still OK with us sharing your photo / word / video?
Yes - we will contact you in 2 years time to check you are still happy unless you contact us to say to remove it
No - your photo, words or video will be available unless you contact us to say to remove it
Why would you like to share your photo / video / words?
You might need to use visual or verbal prompts here to support people.
This part of the form is for the person completing the form
I have understood these questions and give Bild / RRN / Bild ACT permission to act on them.
I accept
I don't accept
This part of the form should be answered by the person supporting the completion of this form.
To the best of my knowledge everything on this form is the person I am supporting's true opinion
I accept
I don't accept
You can change your mind anytime. It’s OK with us.
If you change your mind you can get in touch with the person who supported you to complete this form, or email
communications@bild.org.uk