Pre-Interview Questionnaire Name* First Last Phone*Email* Business/Title/Expertise* What topic/story would you like to share?*How can our audience reach/follow along with you?*Share specific talking points/questions you'd like us to bring up or that would be beneficial to ask?*Share your accolades. How can we talk you up?*Any specific promotion or offer you'd like to provide our audience?*If we are recording remotely, do you have a mic/headset?* I have basic equipment. I have professional podcasting equipment. I need equipment. Will you please send me a headset? Mailing Address Street Address Address Line 2 City State AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific ZIP Code Are you following along with me? If not please do!* Instagram @rurahman Facebook @coachrumaisa Email Newsletter Podcast None right now. NameThis field is for validation purposes and should be left unchanged.