OptiMYz 2020 Top 100 Canadian Health Influencers Nomination Form
Please help us determine this year's Top 100 Canadian health influencers by submitting your nominations. Male or female, they can be in the health care field, wellness, fitness, nutrition, or mental health sectors.
What is your name? *
Your answer
Who are you nominating? (First and last name) If you are nominating multiple people, separate them with a comma. *
Your answer
What industry/sector are they in? (If you are nominating more than one person, write their name, a hyphen, and then their sector. Leave a space between each person). *
Your answer
Why are you nominating them? (If you are nominating more than one person, write their name, a hyphen, and then why you are nominating them. Leave a space between each person). *
Your answer
Do they have a website we can check out?
Your answer
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This form was created inside of Optimyz Media.