Listener Submission Form

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Welcome & Permission* This field is required.Thank you for submitting to Entrepreneurs In Recovery Podcast. The challenges, issues, search for answers that you are bringing to the show belongs uniquely to you. By being willing to share your story, you are giving all of our listeners a chance to grow, heal, and learn. Your question may be chosen as the inspiration for a conversation between Jesse Harless and a guest. We hope to provide a conversation that will feel helpful to you and to everyone who listens. We appreciate your willingness to share! Please know that we cannot use all written/audio questions that are submitted, but we are grateful for each and every one. By submitting a question via this form, you are giving permission for your words or voice to be played publicly. Any answers, conversations, or communication you submit does not replace or provide medical or psychological advice. If your question is read/played, the discussion is for informational purposes only. You must agree with this if you’d like your question featured on an episode. Do you agree?
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Your Name* This field is required.
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Name Usage On The Episode* This field is required.(Please Choose One)
You can use my first name when answering questions on the show (ex. "Jeff has a question about...")
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File UploadWe'd love to hear from you! Please submit your question as an audio or video clip below. (AROUND 1 MINUTE). If you have an iPhone or iPad, you can use the Voice Memos app to record yourself, or use a computer recorder to create an audio file. By uploading a recording, you give permission for your voice to be played on the episode. If you do not have a file to upload please skip to the written choice option. If you have issues uploading your file please skip to the share a link option
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The maximum individual file size allowed in Jotform is 1GB
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Alternatively You Can Share A LinkShare a public or unlisted link to your video or audio recording. (Youtube, Vimeo, Google Drive, Dropbox, etc) Be sure to set your permissions as public so we can view!
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Written Option* This field is required.Alternatively please write your question for Jesse. Please provide some context, we want to hear details! For example: who is involved, what has been happening, for how long, what have you already tried in order to make the situation better, and how you feel about the situation. Make sure to omit all names from your question. If you submitted an audio or video file please type below "I submitted a file"
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How Did You Hear About Entrepreneurs In Recovery Podcast?
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Anything Else You'd Like To Share?
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NewsletterAdd your email here if you would like to be added to the Entrepreneurs In Recovery newsletter. You'll receive helpful tools, resources, updates about the podcast, and more.
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