GET SEEN Assessment Form
Please fill in this form and submit it at least 48 hours BEFORE your appointment time with me. The more complete you are with the information here, the better your pitch will end up being.

If I don't receive this form at least 2 days before your appointment, I will have to cancel it and ask you to re-schedule.

I will use this information to begin designing a media strategy, developing pitch ideas, and thinking about which  media outlets to target.

Please include your email address as I need it to send you program materials and follow-up messages. You can unsubscribe at any time, of course.

Note: If you have already filled out my Media Bio form in the past, the 2 questions marked with *** are the only new questions you need to answer.

(You will receive a copy of this form by email.)
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Email *
Name *
***What is your dream list? The top 10 media outlets you would like to appear in. (Consider which specific TV shows, podcasts, blogs, YouTube channels, radio shows, or magazines.)
***What free gift(s) or opt-in could you offer the audience of the media spot?
Describe the product or service you intend to promote to the leads generated from being featured in media:
Who is your target audience for your business (or project)?
What problem(s) do you solve for your target audience?
Describe any personal experience you’ve had with the problem you solve. Overcome any challenges?
What is your education/training background for your expertise? (School/degree/major - Certifications or special training- Did you train with a well-known expert?)
Describe any involvement with non-profits or corporations: (e.g. Charity work - Member of any industry organizations - Served on a board - Endorsed by an organization leader)
Describe any speaking engagements: (e,g, Shared the stage with someone famous - Interviewed by a well-known person - Given a Ted (or TedX) talk - Spoken in front of a company)
Media you’ve already appeared in: (e.g. Podcasts, YouTube channels, magazines, TV appearance, guest post on a blog.)
Describe what media you have of your own: (e.g. your blog, podcast, YouTube channel, regular contributor for any media outlet)
Size of client base: (How many customers do you have? Where are your clients? Any foreign contries? How many units do you sell in a month or year, if you have a product?)
Community size: (How many email subscribers do you have? What social media are you on, and how many followers do you have? - Facebook, Instagram, Twitter, Pinterest, YouTube, LinkedIn, etc.)
Awards & Recognition: (Named Top 10, Best Of list, etc.  - Awards - Competitions won - Grants/Funding - Recognized by a well-known individual for your contributions)
Name any books you’ve written: (self-published or traditional) Also consider eBooks on Amazon with good reviews. Published essay. Academic thesis.
What results have you achieved for someone with your product/service?
Name any notable clients: (Worked with any well-known people? Do you clients work at any well-known companies?)
Describe any financial results:  Have you generated significant revenue (for yourself or for a client)?
Describe any unique hobbies or interesting habits:
Describe 3 things in life you care most about (personal or work-related):
A copy of your responses will be emailed to the address you provided.
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