Propose Your Radio Show to be on Scientific Healing with Dr. Anastasia Chopelas. If you've already spoken with me, please fill in the form: you are already approved.
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Question 1 of 10
Enter Your Name
Question 2 of 10
Enter Your 200 word biography
Question 3 of 10
Upload a minimum of 1400x1400px photo of yourself.
Question 4 of 10
Proposed interview topic. Remind me here, if we've already spoken.
Question 5 of 10
URL of free offer to audience, if any. Otherwise write none.
Question 6 of 10
Your website URL.
Question 7 of 10
Questions Anastasia could ask you, up to 6. If the standard set of questions work for you, write none.
Question 8 of 10
Social media url's, if you have accounts, including Facebook, Twitter, Instagram, etc. Ex: http://twitter.com/anachopelas, so I can cross promote you.
Question 9 of 10
Your best phone number to reach you in case something goes wrong.
Question 10 of 10
How are you going to promote your show?
Mail my list
On at least 2 social media platforms