questions

* Indicates required field

Name *

First

Last

Email *

Business URL *

What are some topics we should talk about ? (3-5) *

Are you willing to share your podcast on social media and email lists? *

Yes No

Twitter Handle? *

Instagram *

Linked In URL *

Facebook (personal) if you want us to tag you *

Please cut and paste bio here *

Please confirm you have emailed a head shot to: Coachparishoffice@gmail.com *

yes

Anything else we should know? *

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Experimental Leader PodcastQuestionnaire