Qiological Audio Journal Submission Form

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We'd love to hear your thoughts for a contribution to the audio journal. Tell us about yourself and your ideas!

Full name *

Email address *

Mobile phone number

Your website *

Practitioner? *

Yes

Student

Other:

Highest Degree You've Received *

What unique perspective would you be bringing to audio journal? *

I would like to contribute by: *

Being a guest interviewer

I have a perspective on the classics as it relates to modern practice

I've got some clinical insights and methods that would help other practitioners in their work

I want to do a book review

I've got a translation to share

I've got a case report that taught me something new and valuable

Business is fun, I want to help others enjoy and appreciate this aspect of practice as well

I'd like a few minutes on the soapbox and share an editorial

I've got something that would be especially helpful for students

Other:

Required

How this would be helpful— Please list three reasons this will be of interest to our listeners. *

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