Inspiring Adventures Interview Form
Hi there! Thank you for accepting the invitation to be a featured guest on my live show, Inspiring Adventures! I look forward to getting to know you and learning about your inspiration.

I appreciate you taking a few moments to review and complete this form. Your answers will appear on my blog at I am grateful for the opportunity to interview you on Inspiring Adventures with Miz Meliz (that's me, Melissa Reyes!)

Please be sure to read all of the information on set up and requirements, as well as the agreement.

Please enter your full name and screen/blog name, if applicable:
Your answer
How shall I address you? Do you prefer to be called by your first name or a nick-name?
Your answer
Here is an example of the You Tube Thumbnail Photo - Your name will be added with the date of the interview and will be the cover of the video.
Tell me a little bit about yourself and what would you like to discuss or promote on the show?
What are you most passionate about? Are you working on any projects you would like to talk about? Enter shameless plug here...
Your answer
When you aren't working, what do you like to do for fun?
Do you have a hobby, what is your favorite pastime?
Your answer
What are some topics that you would like to discuss?
Some ideas/examples: health/wellness, humanitarianism/volunteerism, books, food, beauty/fashion, blogging/social media, travel/entertainment...what really floats your boat?
Your answer
Who or what has inspired you in your life? How has this inspiration changed you or motivated you to be the person you are today?
The intent of Inspiring Adventures with Miz Meliz is to share what has inspired successful people to push themselves to the next level. You are being invited to be on the show with me to help inspire others to find their passion and live their purpose.
Your answer
How can my audience connect with you?
Please list your website, email, Twitter, Facebook, any contact information and links that you would like to post.
Your answer
Please enter your email address here:
You will be added to my mailing list and may receive emails from me unless you enter "No, thanks" in the box below.
Your answer
Scheduling Now for Fall 2017
My theme for 2017 is "A Year in Bloom" and I am presenting practical ways to help people identify what they can do to cultivate and grow, thrive and bloom, in their business, relationships, and everyday lives - Inspiring Adventures is an integral part of showing examples of people who are living their lives in full bloom.
What date would you like to be my featured guest on Inspiring Adventures? I broadcast live on via a 3rd party online application such as "" on Tuesday nights at 6:00 p.m Pacific Time (9:00 p.m. Eastern)
Note: Please choose the date that you were invited to be on the show unless you are not available on that date and/or time. I will do my best to book your interview on the closest date and time to your request. Feel free to select "other" and we can schedule the date via email.
Please send a headshot photo and 1-3 pictures that can be used on my blog, social media, and on the video for the broadcast and promo.
Email jpegs to
Unless other arrangements are made between us, we will broadcast live via Facebook using a third party online application such as For a live interview to be broadcasted remotely via Facebook, you must have the following: a computer with video webcam, microphone, speakers, and internet wifi. It is also required that you use Chrome as the browser. I will send you a link in Facebook messenger that will connect us fifteen minutes prior to the interview. You must have a Facebook account and you must be using Chrome, if you don't please tell me in advance so we can make other arrangements.
Make sure there is plenty of lighting, that you have something to drink nearby, be seated comfortably and turn off any other applications running on your computer. Don't forget to silence your phone. I do not interview on other platforms. Please plan ahead and check your equipment. We can meet online prior to show time to test, if needed. It is wonderful if you invite your friends and fans to see the live interview. The best way to do that is to share the link from my blog and let them know to watch Facebook at the time and date of the interview. Once we start the live interview, you will be able to share it directly to your own profile page, group or fan page on Facebook. Viewers can interact by leaving comments and asking questions. I will be happy to walk you through this at the time of the interview.
What is your area of expertise or interest?
Please check all that apply:
Please let me know what topic you are most comfortable discussing and sharing with our viewers.
Please check all that apply:
How do we know each other? Please remind me how are we affiliated?
Please check all that apply or add something. Thanks!
Let's work together to get the word out about Inspiring Adventures
Please invite your friends to the live broadcast prior to the event. You can also share the link on your Facebook, and post/share/tweet on your Social Media outlets before/during/after the live broadcast. I appreciate any and all feedback, tag me so I can promote you as well. Please check all that apply:
Please enter your mailing address
Sometimes I might get it together enough to send you a little something in the mail. I promise not to add you to any mailing list or share this information with anyone.
Your answer
Additional Services Available
After the live interview airs on, it will be edited and posted on You Tube, and ultimately on the BubblrMedia website. We may add music, voice-over, credits, titles, captions, and links. In many cases the social media resources and influential reach is quite substantial and may help in getting your message heard by the public. If you would like assistance with a campaign to target a particular audience, please indicate services that you are interested in and we will be happy to set up a free consultation with one of our marketing experts at BubblrMedia.
Contractual Agreement
By agreeing to appear on "Inspiring Adventures with Miz Meliz" as a featured guest, I accept the terms of the interview, whereas my image, voice, photos, web presence, products, and information that I share will be broadcast live as well as recorded. The recording of the interview will be the property of Melissa Reyes with all rights reserved. The live broadcast will be aired on Facebook on MizMelizLA as well as BubblrMedia and/or Adventures with Miz Meliz and/or A Year in Bloom page. The uncut replay of the live broadcast will be embedded on and may be shared via social media such as, but not limited to Twitter, Facebook, Instagram,Triberr, and Pinterest.
BubblrMedia Release Form
I will read the BubblrMedia Standard Release Form being sent to me separately and I understand that the interview will be scheduled when both forms are completed.
Please confirm that you have read the entire agreement and agree to the terms and conditions herein. Entering your name in the space below will serve as your signature.
Your answer
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