Media Inquiry/Request for Interview
(Please note Dr. Samra is located in the PST time zone.)
Media Outlet/Organization
*
Name
*
First Name
Last Name
Title/Role
*
Email
*
Confirmation Email
example@example.com
Phone Number
*
-
Area Code
Phone Number
Media Request Timelines
*
Please indicate if there is a firm deadline/pre-scheduled interview slot.
Audience Demographics
*
Media Type
*
Print/Web
Radio
Television
Podcast
Please provide as many details as possible, including links to any relevant background/context including preferred interview platform.
*
Submit
Should be Empty: