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This form is 100% anonymous. We are collecting testimonies from family, friends, or partners of people who were emotionally affected by AI platforms such as Replika, ChatGPT, Character.ai, Janitor AI, etc. If someone close to you: Believed the AI was conscious or in love with them Withdrew emotionally or socially from real life Experienced delusion, obsession, anxiety, or depression Was hospitalized or needed psychiatric help …your story could help prevent further harm and bring accountability. You may remain completely anonymous, or leave your contact info if you’re open to being contacted.