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Question 1 of 12
What is your email address?
Question 2 of 12
Your preferred name for the podcast (i.e. the full name you want to appear on marketing and in the shownotes)
Question 3 of 12
Your age (decade is fine!)
Question 4 of 12
How did we meet?
Website contact form
Email
Instagram
YouTube
LinkedIn
Facebook/Messenger
Other, specify below:
Question 5 of 12
If selected other, please specify. Otherwise, fill in N/A
Question 6 of 12
What topics would you like to discuss on the podcast?
Question 7 of 12
Are there specific questions you'd like me to ask during our interview?
Question 8 of 12
Please provide a short bio that can be used in the podcast introduction and shownotes.
Question 9 of 12
Please share any links you would like to appear in the shownotes.
Question 10 of 12
Do you have a podcast? If so, would you be open to a "podcast swap"? Otherwise, fill in N/A.
Question 11 of 12
Please upload your headshot that will be used for the podcast cover art. (If you prefer to not have your image displayed, please specify this request in the next question).
Question 12 of 12
Are there any accommodations you'd like me to make prior to or during our recording? (Or share anything else you'd like me to know!)