First Name

Last Name *

Email *

Phone *

Preferred Title(s) - i.e. Author, Coach, Investor, all of the above, etc. *

What is a current obstacle do you have in your business or life right now? (We may ask during the episode so want to make sure you are prepared, just in case) *

Bio (Three to five sentences that tells us who you are. This is what will be used to introduce you to the podcast audience. If you booked through PodMatch please choose your favorite parts of that bio or other) *

Specific Questions: Are there specific questions you would like to be asked during your episode? (Type N/A if not) *

Headshot (or best picture of you) This image will be used for promotional purposes, including social media. Please use JPEG or PNG formats. *

Social Media Links

Facebook Personal Page URL (N/A if not available) *

Facebook Business Page URL (N/A if not available) *

Instagram Link (N/A if not available) *

LinkedIn URL (N/A if not available) *

Other Social (i.e. YouTube, Tik Tok, etc - N/A if not available)) *

Giveaway

Many of our Guests choose to offer a gift for the listener. This may be a physical product, though, the preference is a digital gift, complimentary session or something along those lines.

Do you have a freebie/giveaway? *

Yes

If there is a link to the giveaway, please provide it. Otherwise, it is ok to have it for the show...not required

Podcast Tech

Do you have:*

Check All That Apply *

Webcam

Microphone

Earbuds/Headphones

None of the above/what do you suggest

Have you ever been on a podcast before? *

Yes

Agreement

By indicating your agreement, you grant permission to Tony Schmaltz and the Wake The #$*! Up Show to record the interview, post content on the Internet obtained during the interview, and promote the content. Once published, editing will not be possible.

Accept the Agreement *

I agree to the terms of the podcast interview