Full Name *

Business or Practice Name

Website

What natural wellness modalities do offer? What are you specialized areas of service? *

How did you get started in the natural health field? (Brief story) *

Who is your ideal client or the primary audience you serve? *

What are some key results or transformations your clients have experienced? *

Are your practices aligned with a faith-based approach to wellness? (Explain briefly.) *

What values or principles guide your practice? *

If sharing about your personal journey, what are some key results or transformations your have experienced personally? *

Do you have any products, services or promotions you would like to mention during the podcast? If yes, please share briefly what they are. *

Have you done podcast interviews before? If yes, please list a few. (Optional)

How do you support your clients spiritually and emotionally? *

Share any Social Media Platforms you would like to include in the Show Description notes below:

Do you have a link you can provide for your offer? If yes, please provide the link below.

Please share a brief bio that I can read to introduce you to the audience - about 200 words or less:

Brief Bio *

Introduction for the Show

What topic(s) would you like to discuss during the interview? *

Is there anything you would prefer not to discuss on the show? *

Address

Street Address

City

State

Country

Postal code

Email *

Phone *

Do you agree to share the episode with your audience once it goes live? *

Yes

Are you comfortable sharing your personal journey and client success stores (while maintaining respectful confidentiality)? *

Yes