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Selfempowered - ThinkWell Podcast

Guest Application Form

 

Welcome!
Thank you for your interest in being a guest on the Selfempowered - ThinkWell Podcast.

We’re honored you want to share your voice and story with our audience. Please complete this short application so we can learn more about you.

Click the button below to start.

Start

Section 1:

About You

Question 2 of 18

Full Name

Question 3 of 18

Email Address

Question 4 of 18

Phone Number (Optional)

Question 5 of 18

Website / Portfolio / LinkTree

Question 6 of 18

Instagram / LinkedIn / Other Social Profiles

Section 2:

 

Your Message & Fit

Question 8 of 18

Tell us briefly about who you are and what you do.
 (Max 150 words) 

Question 9 of 18

What topic(s) would you love to talk about on the podcast?
 (Feel free to list 1–3)

Question 10 of 18

Which of these themes does your story/expertise align with?

(Select all that apply)
A

Managing anxiety or overwhelm

B

Daily mental clarity practices

C

Intellectual fitness or mindset training

D

Burnout recovery

E

Personal empowerment or transformation

F

Breathwork or somatic healing

G

Other

Question 11 of 18

What makes this conversation relevant or helpful to our audience (overwhelmed minds seeking clarity)?

Section 3:

Readiness

Question 13 of 18

Do you have access to a quality mic, quiet recording space, and stable internet?

A

Yes

B

No

Question 14 of 18

Are you willing to promote the episode on your social platforms once it airs?

A

Absolutely

B

Maybe

C

Probably not

Question 15 of 18

Have you been featured on podcasts before? If yes, link a favorite episode.

Section 4:

Final Notes

Question 17 of 18

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

Question 18 of 18

How did you hear about us?

A

Instagram

B

Referral

C

Google

D

I'm a listener

E

Other

Confirm and Submit