Request for Interview or Event Facilitation
Please complete this questionnaire and we will follow-up if this project is a good fit for Dr. Theresa
Email address *
First Name:
Last Name:
Website:
How did you hear of Dr. Theresa?
Please describe the theme of your show / project / event:
What is the goal of your show / project / event?
How much have you engaged with Dr. Theresa's content to know that it is aligned with your work?
Why do you feel Dr. Theresa is a good guest for your show / project / event?
Please share more about your background:
What is the time commitment for the interview, project, or event?
Who is your primary audience?
What is the reach of your audience?
Anything else you'd like to share?
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