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Voice For Victims Podcast/Vision Global Show and Healthy First Now Podcast
Questionnaire
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What is your name?
Your answer
What is your phone number?
Your answer
What is the best time to contact you?
Your answer
What timezone are you in?
Your answer
Are you any of the following?
Victim
Survivor
Advocate
Attorney
Option 5 Entrepreneur
Other:
Do you have a story? If so, please write it here
Your answer
Are you comfortable with being on the air?
Your answer
Do you grant permission to Voice For Victims LLC and the Podcasts to use a picture of you for flyers, social media posts, website and anything to promote for the show you will be on?
Yes
No
Maybe
Clear selection
All statements must be factual and you own what you say and Voice For Victims LLC is not held liable for what you say on the air. Do you agree to this?
*
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No
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