Media Request Form - Todd Herman: Global Leader in Peak Performance

Thanks for your request to interview me.

Share some details with me below and if it looks like a good fit, my team will be in touch to get the ball rolling on the next steps.

Media Request

Please take a few minutes to share some details below. If it looks like a good fit, my team will be in touch to get the ball rolling on the next steps.

Podcast/Show Name*
Show Host Name*
Contact Name
(If other than the Host)
Contact Email Address*
Website Address*
Podcast/Show Niche*
(Business, Sports, Health, Self-Help, etc.)
Target Audience*
Who Tunes In
Monthly Downloads/Views*
What is the usual turnaround time between the interview and being posted/published?*
How Is The Show Promoted?*
Can you provide video/audio bites from the interview for us to share?*
- Yes
- No
Referred By
(If someone connected us, or you heard about me through a friend, it helps to mention here so I can thank them.)
Scheduling Link
Please provide a link to your online calendar:

Thanks for your request to interview me.

Share some details with me below and if it looks like a good fit, my team will be in touch to get the ball rolling on the next steps.

Media Request

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