Guest Information Questionnaire

SecondWind with Joyce Buford

Guest Information Questionnaire
*In order for us to receive all of the benefits that accompany your interview, it is required that you fill out this form to the best of your ability and return it promptly.*
About Yourself
Name*

First NameLast Name
E-mail*
Address

Street Address

Street Address Line 2

CityState

Country
Phone Number*
Please enter / paste your PERSONAL BIO, Limit to 300 words. Share your mission and tell us a little about you (where grew up, went to college, your family, what makes you unique, your business, what do you do). I like to share some basic personal things about you. The more my listeners can identify with you, the more they will know their future is possible.*

0/300
Please attach high-res headshot (photo)

Upload a File

Cancelof

About Your Interview
Have you been a guest on SecondWind before?

YesNo
If so, when?
What would you like to be addressed as during your interview?
What is the main topic or focus of your interview?
Can you briefly describe the defining moment that sparked your transition?
Talking Points (List at least 3):
Are you offering a give away to lead people to your website? If so, list the title, brief description and URL to access your gift.

About Your Business
Business Name
Website
Facebook
Twitter
LinkedIn
Instagram
YouTube
*By being a guest on SecondWind, you will receive a copy of the podcast. We ask that you promote the show on social media and your mailing list.*
Should be Empty:

SecondWind with Joyce Buford