Selfcare Podcast Info
Thanks for taking the time to fill this out. We have created a giving impact on your behalf :)
The podcast will be between 20-30mins
First 10 mins - Your story, 3 key learnings in the are of your own selfcare or self-mastery.
Last 10 mins - ONE tool, resource or daily ritual that the listener could embody in their life today
Which social cause would you like us to support on your behalf?
Planting more trees
Supporting and saving the bees
Providing food to those in need
Giving everyone access to clean water and sanitisation
If you could explain WHY you do WHAT you do in a sentence, what would you share?
Share 3 key points that you would like to share with the audience regarding their own selfcare, self-mastery?
What are your 3 MOST powerful morning rituals, practices or routines?
What is a link to ONE tool or resource that you feel anyone listening could embody into their daily rituals! * Perhaps its the ONE thing you have learnt to do every day, because it makes you feel better!
Which of the 12 medicines will you be sharing on?
Nature is medicine
Environment is medicine
Connection is medicine
Genes (Epigenetics) as medicine
Mind is medicine
Movement is medicine
Food is medicine
Work is medicine
Lifestyle is medicine
Spirit (energy) is medicine
Technology is medicine
Modern medicine (evidence based)
Website (so people can find you)
Please send speaking material to
Headshot or lifestyle shot for socials
Media kit & Bio
Links to previous talks or show reel.
Send me a copy of my responses.
Page 1 of 1
Never submit passwords through Google Forms.
This form was created inside of fillyourcup.