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* 1. Imagine that you're tweeting your interview topic… what would you say? (in 140 characters or less)

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* 2. How does your 'change-making' idea shift people's thinking?

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* 3. Why do you believe we need to hear this message now?

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* 4. What inspires YOU?

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* 5. Anything else you'd like to share?

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* 6. The "Simone & Friends" event is held LIVE in Brisbane. If you wish to be interviewed LIVE, you need to make your own arrangements to be in the studio for the event. Are you able to do this?

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* 7. Your contact details (full name)

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* 8. Best contact email and mobile number

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* 9. Would you prefer a STUDIO LIVE interview in front of audience (based in Brisbane or South-east Queensland essential) or ONLINE (recorded).

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