Interview Request Survey
Please provide us with more information about your interview request. If it is a fit for Shannon, we will contact you at our earliest convenience.
Name *
Your answer
Business Name and URL *
Your answer
Interview Opportunity *
Describe your target audience *
Your answer
If this is for print, what is your monthly readership?
Your answer
If this is a podcast, what’s your subscriber count and average download per episode?
Your answer
Please provide a brief example of topics you are interested in hearing from Shannon (we offer a PDF file of suggested questions on our media page for your convenience) *
Your answer
Include the best point of contact: *
Your answer
TERMS: Interviews/summits will be emailed to Shannon's list at our discretion. Suggested interview questions are provided for download (PDF file) on our media page. We encourage you to download and review the suggested questions in advance. Interview questions must be agreed to no later than 48 hours prior to the interview. If the the interview questions are not agreed to, the interview will need to be rescheduled or cancelled. *
Date of Request *
MM
/
DD
/
YYYY
Submit
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service