Circle of Care’s Guest Questionnaire

First Name(Required)

Last Name(Required)

Email(Required)

Phone Number(Required)

Your preferred method of contact(Required)

Phone

Please take a moment to briefly explain why you want to present to our Circle of Care community. Include how you learned about it, what you would like to present, and why you feel we should feature you.(Required)

Please provide a brief background about yourself and your expertise. Include specific achievements or experiences you feel showcase the experience and knowledge you will be sharing with our Circle of Care members.(Required)

Have you given talks or been a guest on podcasts before? If yes, what topics did you discuss? Please provide links to podcast episodes and/or recorded talks applicable to the topic(s) you would like to present to our Circle of Care members.(Required)

What do you feel is your unique insight, viewpoint, or experience you’ll be bringing to our Circle of Care members hasn't been covered extensively elsewhere?(Required)

What are the key messages or takeaways you would like our Circle of Care members to take away from your presentation? Please provide a high-level overview of the main topics or stories you'd like to discuss.(Required)

Are you open to preparing for the interview to ensure an in-depth and well-informed conversation?(Required)

Yes

What is your presentation style? Are you a storyteller? Do you use a lot of PowerPoint slides? Please give us a feel for what your presentations are like.(Required)

How familiar are you with Annette Hines? Specifically, what do you know about the mission of Special Needs Companies and the “Parenting Impossible” podcast?(Required)

Do you believe you may have any affiliations or stances that might conflict with Annette Hines’ or Special Needs Companies’ mission?(Required)

Are you open to offering a 15- 30-minute question and answer session after your presentation for our Circle of Care live attendees?(Required)

Please confirm your availability for the proposed presentation date and time.(Required)

Do you understand this presentation is not to be used to self-promote, pitch, market, or otherwise sell your services to our Circle of Care members? We will provide links to your website and social media to all attendees. We will also make sure to state they can follow up with you as they see fit. We will NOT share any information related to our attendees, including but not limited to email addresses or phone numbers.(Required)

Do you have any questions or concerns for us before we finalize your participation?

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