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RadicalRx Show Guest Intake

Please provide as much of the following information as possible.

RadicalRx Show Interview Intake

Personal Information

First Name

Last Name

Email Address

Phone Number

Location

City

State

Country

About You

Tell us a little about yourself. You may type "see bio" and provide a link to your bio in the field below.

Link to Bio

Headshot (if available)

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Your Story

What makes your story unique or impactful?

Which RadicalRx pillar(s) does your story align with? (Check all that apply)

Radical Ownership

Radical Courage

Radical Self-Care

Radical Release

Radical Gratitude

Radical Refresh

Radical Equanimity

Not sure

Other - Please specify

What specific message or insight would you like to share with the RadicalRx audience?

Media and Content

Do you have any related links, books, blogs, or media you'd like us to check out? (Please provide URLs if applicable.)

Do you have any b-roll video or images we can use in promos and in the show's final edits?

Have you been featured on other podcasts or media platforms? (If yes, please share links to past appearances.)

Logistics

Are you comfortable recording via Descript Studio, SquadCast, Zoom or other virtual platforms?

Yes

Additional Information

Is there anything else you'd like us to know about you or your story?

How did you hear about the RadicalRx Show?

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