CHOOSE TO PREVAIL Video Series Response Form
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Name
*
Your answer
Phone
*
Your answer
Email
*
Your answer
Explain your experience that will be relevant to the interview, if selected (be detailed!):
*
Your answer
Have you read the Choose to Prevail book?
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Your answer
Did you implement any of the ideas in this book in order to overcome a challenge?
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Your answer
Have you reviewed Choose to Prevail on Amazon? If so, under what name may we find your review?
*
Your answer
If you are chosen for this video series, which will be streamed for subscribers to the
www.heartofhollywoodcinema.com
platform, what will you do to help promote the episode on which you are a guest? (e.g. social media, e-mail newsletter, etc.):
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Your answer
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