Podcast Interview
Please fill out this form to be interviewed for the podcast.
* Required
Email address
*
Your email
Name
*
Your answer
Phone Number
*
Your answer
What time of day works best for the interview?
*
Morning
Afternoon
Evening
Other:
Please select the day of the week that works best for you to do the interview.
*
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday
What topic would you like to speak on?
*
Pregnancy
Birth
Postpartum
Birth Stories
Breastfeeding
Motherhood
Infertility
Other:
Required
Please describe a few key points of the information you would like to be interviewed on. (If birth story was selected, please specify a couple of key points of your birth story. Example: Induction, Home Birth, Cesarean birth, Birth of twins, etc. )
*
Your answer
Thank you!
Your responses to these questions will be kept confidential and only used to put together questions for the podcast. I will be in touch within the next 24-48 hours to schedule an interview. All interviews will be recorded through Zoom, please make sure to have this downloaded and working before the interview. Thank you for all of the support, it means the world to me! ~ Kelby
talkbirthytomepodcast@gmail.com
Send me a copy of my responses.
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