GUEST QUESTIONNAIRE

QUESTIONNAIRE

Here are some questions that will help us take the podcast in the right direction for you, answer any that are appropriate.

How did you find out about being a guest on The Pain Game Podcast?

Guest Release: *
By filling out and submitting this form, you agree:

The Guest does hereby irrevocably consent to the recording and distribution of reproduction(s) of the Guest's voice and performance as part of the media program entitled “The Pain Game Podcast” (herein referred to as the "Program").

In consideration of being invited to appear on the Program, Guest does hereby acknowledge that Lyndsay Soprano and Bound-by Marketing, Inc. (“Podcaster”) is the sole owner of all rights in and to the Program, and the recording(s) thereof, as “works made for hire” pursuant to 17 USC §101, et.seq., for all purposes; and that Podcaster has the unfettered right, among other things, to use, exploit and distribute the Program, and Guest’s performance as embodied therein in any and all media or formats, throughout the world, in perpetuity. Any materials created in connection with the production and distribution of the Program (“Materials”) become the property of Podcaster, and Podcaster shall have the sole and exclusive right to use, exploit and distribute such Materials, throughout the world, in perpetuity. This release applies only to the finalized and distributed podcast episode.

Nothing contained in this Podcast Guest Release shall be construed to obligate Podcaster to use or exploit any of the rights granted or acquired by Podcaster, or to make, sell, license, distribute, or otherwise exploit the Program or Materials whatsoever.

Guest understands and agrees that he/she shall receive no monetary compensation for appearances on and participation in the Program.

Guest's name and likeness may be used in advertising and promotional material for the Program, but not as an endorsement of any product or service.

Guest hereby releases and discharges Podcaster from any and all liability arising out of or in connection with the making, producing, reproducing, processing, exhibiting, distributing, publishing, and transmitting by any means or otherwise using the above-mentioned production.

Yes, I agree

Please ensure any credentials and salutations are correct (Mr./Ms./Miss/Mrs./Dr. Ph.D., JD, etc.):

First Name: *

Last Name: *

What is the best contact info for you? (This information will remain confidential unless you want any of the info released).

Email Address:

Phone Number:

Please provide a short bio that we can use to help introduce you and/or for the show notes:

What are some topics you would like to discuss that could help chronic pain and trauma sufferers and those that love them (ie. Family, spouses, co-workers, etc.)?

Are there any topics you would prefer not to talk about?

Do you have a download freebie, promo, or anything you'd like us to help promote you being a guest on the show?

Do you have a book that you would like us to help promote? If so, please send a copy to the studio. (I will provide the mailing address separately).

Book to Promote:

Please provide links to the book for us to include in our social and references:

Please provide any links you’d like us to include in the show notes for references for the listeners:

Please provide your handles/links for the below spaces, if applicable:

Instagram:

Facebook:

YouTube:

Twitter:

LinkedIn:

Website:

Podcast:

TikTok:

Any additional comments/questions?

Your Headshot:
Please upload your headshot below:

Your Logo:
If applicable, please upload your logo for us to use in marketing you and the episode!

Acceptance: *

I accept the tagging of my social media accounts that are listed in this form for marketing purposes from the Pain Game Podcast and its agency.

I accept receiving email marketing from the Pain Game Podcast and its agency.

Interview Scheduling

Lyndsay is based in California on Pacific Time. She would like a brief 15- to 30-minute call on Zoom prior to recording to get to know each other briefly, so she can represent you in the best light.

Please schedule that Meet n’ Greet here.

SCHEDULE RECORDING EPISODE:
Please click here and schedule a time that’s suitable for you to record the podcast interview. Allow approximately 1 hour.

HOUSEKEEPING
We use Riverside.fm to record our remote podcast guests, this will record both audio and video however at this stage we only use the audio for the full podcast episodes.

Once the interview is scheduled, you’ll receive a calendar invite with the Riverside link where you join to record the interview. If you don’t have a microphone that’s okay, you can use your Air Pods, something similar, or just your computer’s microphone.

Thank you for taking part in such a special project with us. It certainly is a love child!

Please contact me with any other information, questions, or conflicts that might arise. Looking forward to your appearance on the show!

Thanks!

Steve Koch
Executive Producer
steve@thepaingamepodcast.com

GUEST QUESTIONNAIRE

QUESTIONNAIRE

Interview Scheduling

Wanna Talk About Healing?