Prospective Podcast Guest

JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.

If you would like to be interviewed on the Just Say Dyslexia podcast, please fill out the form below. You will be contacted within 2 business days, which may lead to you being scheduled on the podcast. Filling out this form does not obligate you to appear on the podcast, nor does it require Just Say Dyslexia LLC to air your story. Nothing submitted here will be made public or used without written consent.

Email *

Name (First and Last) *

How would you describe yourself (check all that apply) *

I have dyslexia or related learning disability (dysgraphia, dyscalculia)

My child has dyslexia or related learning disability

I am tutor or literacy specialist who specializes in dyslexia or related learning disability

Other:

Required

Briefly tell me more about your story and what you'd like to discuss on the podcast *

By submitting this form, you agree to be contacted by Just Say Dyslexia, LLC.

Send me a copy of my responses.

Submit

Clear form

Never submit passwords through Google Forms.

Forms

reCAPTCHA

Privacy Terms

This form was created inside of Just Say Dyslexia.