Question Title

* 1. What is your first name and last name?

Question Title

* 2. What is your email and phone number?

Question Title

* 3. What is your address / country / time zone?

Question Title

* 4. What best describes you?

Question Title

* 5. How long have you been sober?

Question Title

* 6. Do you have your own stage?  (YouTube, Podcast, Event)

Question Title

* 7. If yes, please share more about it?

Question Title

* 8. What message regarding sobriety and recovery would you like to share with the world?

Question Title

* 9. My interviews are long format (60-90 minutes), we book a mutual ZOOM recording day/time, usually Wednesday or Thursday, and I upload the recording to my YouTube Channel on Friday.  Videos are not edited.  We have an authentic conversation with the intent to share hope, healing, resilience, redemption, inspiration and some fun for our audience - and I do my best to promote you and your services and products by seeding through the conversation.  I also provide social media graphics for you after the show to use for promotion.  If this resonates with you and you would like me to contact you for an interview please answer "yes".

Question Title

* 10. Thank you for your application!  I will respond within 24 hours.  Please share anything else you would like me to know in the textbox and then hit the DONE button below to make sure I receive your responses.

T