Name * First Name Last Name Email Address * Phone (###) ### #### Primary Podcast Website http:// Facebook Page http:// Twitter http:// iTunes Podcast Page http:// Give me your podcast elevator pitch in 200 characters or less Who is your target audience? How long have you been podcasting? Tell me about your podcast as it is now. What's working for you? What's NOT? If you could wave a magic wand and change 3 things about your podcast what would they be? What priorities are most important to you right now? (check all that apply) Launch a new product Launch a new service-based business Launch a new website/blog/other program Increase my income Grow my audience Refine my podcast production Other What would you like to specifically accomplish as a result of our time together? What are you concerned you WON'T get out of working with me? Anything else you want me to know before we get on the line together? Add any relevant social media properties or websites that also are part of your online presence? Your Skype name Thank you!