The POP Podcast Questionnaire

Media Guest Questionnaire

Welcome to the POP Podcast w/ Dr. Shané. We are looking for professionals from all walks of life who have an inspiring story to share with the world regarding their leadership journey. On the podcast, we will discuss how you've navigated work-life balance by attending to your mind, body and/or spiritual health. If this is something you'd like to discuss, please complete the form below.
Full Name *

First Name Last Name
Date *

Month Day Year
Date
Organization/Company Name:
Title:
Best Contact Number *

Area Code Phone Number
E-mail *
example@example.com
Business Website:
Social Media Links: *
1.
2.
3.
4.
5. ex: https://www.linkedin.com/company/officialspcgroup
Specialization/Years of Experience: *
What made you interested and/or inspired to be a guest on the POP Podcast? *
What is your favorite POP Podcast episode and why? *
To listen to the episodes, click here.
Publication: *

Yes No
If yes, please list:
Prior Public Speaking/Interviews? *

Yes No
If yes, please describe:
Interview Topic Selection: Category (check at least once): *

Mental Physical Spiritual
Provide 3-5 Key Points to Share: *
1.
2.
3.
4.
5.
Key Questions to prompt interviewer to your above noted points: *
1.

2.

3.
Please provide a high-resolution headshot to utilize in the podcast promotional materials *

Browse Files

Cancel of
Please share your BIO here so we can share it on the podcast (No more than three sentences) *

Browse Files

Cancel of
How did you hear about us? *

Google Search Referred by someone I'm a listener
Anything you want to add?
Please click here to schedule your pre-screening.
*Please Note: The above listed questions are not guaranteed to be asked of interviewee by the interviewer but used as a guide. All guests are asked to share promotional material(s) on their personal and professional social media platforms as well as tag @theSPCGroup, #thePOPPodcast and/or @drteran.

SP Consulting Group
900 N. Alameda Street #86133, Los Angeles, CA 90012
www.officialspcg.com
Please verify that you are human *
Should be Empty:

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Media Guest Questionnaire