HUG Podcast Network Guest Survey
Please answer the following questions to help us create a script for our program. Please fill out a separate form for each program for which you wish to be a Guest (for example, if you want to be a Guest on both Heart to Heart with Anna and Bereaved But Still Me, you'll need to fill out a form for each show).
Sign in to Google to save your progress. Learn more
Name: *
Email Address: *
Home Phone (please include area code and country code if outside the USA):
Mobile Phone (please include area code and country code if outside the USA): *
Facebook Name:
Twitter Handle:
On which program do you wish to be a Guest? *
Required
Please tell us about your role in the congenital heart defect (CHD) or bereaved community (parent, grandparent, heart warrior, doctor, nurse, etc.) *
Please indicate the topic you wish to address (please be specific!) *
Please tell us about yourself and why you are an expert on that topic (this should be about 150-word bio and might include the name of your/your child's heart defect, age, surgeries, etc. for H2HwAnna or The CHD Podcast, OR you can tell us about your departed loved one and your relationship for Bereaved But Still Me): *
Is there anything else we need to know?
Please check all the equipment you have available: *
Required
We prefer to use Zencastr to record because it has better sound quality than Zoom. There are specific requirements: You must have 1) Chrome as your browser, 2) a computer OR an Apple device (iPhone or iPad), and 3) a headset, earbudsor AirPods. We would send you a link to join us in our studio. Do you have the ability to record with us on Zencastr?
Clear selection
We can use Zoom to record the podcast episode. Please use a computer or a phone with a headset, earbuds or AirPods (to prevent an echo we can't edit it of the track). You will have to download the Zoom app. Do you prefer to use Zoom?
Clear selection
We use Book Like a Boss to help us deal with multiple time zones. Here are the links you may choose from:

Heart to Heart with Anna: https://bookme.name/AnnaJaworski
Bereaved But Still Me:  https://bookme.name/BereavedButStillMe

For The CHD Podcast, please indicate here what days and times you are available
 *
Are you interested in volunteering for Hearts Unite the Globe?
Clear selection
Would you like to be a Patron? You can visit our Patreon page here: http://www.patreon.com/HeartToHeart
Clear selection
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy
Google Forms