SOS Speaker Survey

Welcome to My Survey

Thank you for participating in our survey. Your feedback is important.

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1. Please enter the information indicated below.

Name *

Company *

Address

Email Address *

Phone Number *

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2. What is your speaker Brand / Identity?

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3. What are your top three topics?

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4. If you have been interviewed on these topics before, please indicate the host, station, and/or show(s) that featured you.

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5. List your top three products and the cost of each.

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6. Who is your target market?

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7. What is the size of your email list?

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8. What is the size of your social media contact list?

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9. Please list your addresses to your LinkedIn; Facebook and Twitter accounts below: