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JPB | Guest Appearance + Media Request
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Email
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Your email
Contact Name
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Your answer
Phone number
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Your answer
Name of Event, Podcast, Show, etc.
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Your answer
Name of Host
Your answer
Website
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Your answer
Your Brand/Podcast Mission
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Your answer
Who is your audience? (Demographics and primary interest of listeners)
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Your answer
Avg Size of Audience (Avg listener/viewership)
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Your answer
Links, #'s and demographics for any that apply: iTunes, YouTube, FB, Twitter, Instagram, LinkedIn, Google, Other (Example: Instagram 20K, YouTube 10K)
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Your answer
Past guests or other speakers lined up?
Your answer
Key timing and/or preferred date of recording?
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Your answer
How | AV requirements (check all that apply)
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In person
Audio
Virtual
Written
Other:
Location if in person preferred
Your answer
How do you plan to share the recording?
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Your answer
Please expand on why you'd like to have Jenn on your show or at your event.
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Your answer
Priority | Is there something in particular you want Jenn to touch on?
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Movement, Meditation + Breathwork
CHANGE + CHOICE
GROUNDING + BOUNDARIES
CYCLES + SPIRALS
Conscious Coaching
Energy Medicine
Plant-Based Cooking
Other:
Required
Please list any interview promotional requirements (emails, social posts).
Your answer
Are you providing speaker fee/compensation for the interview? If yes, please provide details here.
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Your answer
How did you hear about Jenn Perell Bush?
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Your answer
THANK YOU!
We will review with team and get back to you within 7-14 business days.
A copy of your responses will be emailed to the address you provided.
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