Guest Questionnaire

Introduction

We are so glad you are here. Before we step into the conversation, we would love to learn a bit more about you. This brief questionnaire helps us capture the essentials and understand how you would like to be introduced, represented, and uplifted during your episode.

Think of it as your space — a chance to tell us what matters most, what you would love us to highlight, and anything you would prefer we leave out. Our priority is simple: that you know you are seen, respected, and completely comfortable from start to finish.

The questionnaire should only take a few minutes to complete, so we can thoughtfully prepare for your episode and ensure your story shines in the way you want it to.

Section 1: Guest Information

Full Name *

For our records

Perferred First Name *

Perferred Last Name *

Phonetic Pronunciation

to ensure we say your name correctly on air

Pronouns

Phone *

Email *

Address

Street Address

So Christopher can send you a small thank you gift for being a guest on the show

City

State

Country

Postal Code

Your Website

Your LinkedIn Profile

Your Instagram Profile

Your Facebook Profile

Your TikTok Profile

Your YouTube Profile

Your Headshot

PNG, JPEG or JPG ( max 3 Files )

Section 2: Episode Prep

Bio Creation (4-5 bullet points/talking points to include in bio): *

The more bold and authentic you are, the more fun we will have!

Topics / Projects you would like us to highlight: *

Okay, spill the tea!

Topics / Personal details you would prefer we avoid: *

Even though we want this to be an unfiltered conversation, we also want to respect your boundaries.

Any fun facts, hobbies, or personal touches we can include? *

I got one for you: I was included in a photo of VP Harris, her team shared on social media. (though it was just the back of my head.)

Moment of Belonging

To help spark the conversation, share a few examples you would like to share on the show.

Moment of NON-Belonging

To help spark the conversation, share a few examples you would like to share on the show.

Have you thought about your “I Know I Belong When…” statement? *

Yes, this is the most exciting part of the interview for me!

Yes, though I am unsure what to share!

No, though, thank you for the reminder!

Wait what?!? I totally forgot about this part!

Section 3: Media Release

Please review the media release here.

Do you agree with the Media Release Policy? *

Yes, I agree to the terms outlined in the Media Release Policy.

No, I do not agree. In that case, I am sorry, we will need to cancel your guest appearance on the show.

We hope you read what you just agreed to! ;-)

Section 4: Final Thoughts

Is there anything else you’d like us to know before recording?

Really, this is your last chance to tell us your deep dark secerts! ;-)