Thank you for your interest in working with me. Here are a few questions to get you thinking about your goals when it comes to media. This will help me determine if we are a good fit and how we can best work together. Please complete this interest form and then we can set up a free Q & A call. Here’s to you and your voice!

Questionnaire – Media Momentum Mastery

First & Last Name (required)

Bio - Tell me about who you are and what you do:


Relevant social media accounts

Your Email (required)

Phone Number / Skype Name

What is your compelling reason for media/on-camera/communication coaching?

What is your ultimate goal when it comes to media/being on-camera or communication?

What, if any on-camera experience do you have?

What are your objectives? What do you most want to learn, improve, change?

How will you know if this objective is achieved? (What would you like to walk away with after our time together)?

What are your long-term goals? 6 months? 1 year?

What areas are you interested in? List in order of importance.
– Pitch Training: How to book a media appearance/interview
– On-Camera Interview Training/Media Training
– On-Camera Video Training: Make Your Own Videos
– Professional Host/Reporter Training
– Corporate Communication Coaching
– Image Consultation (Wardrobe and Make-up)
– Business Coaching

What do you expect and look for in a coach?

What press and marketing materials do you have?

HeadshotReel/Video of You on cameraPress Page/Topics

Are you interested in one-on-one coaching? A group program? Or a corporate consulting program?

Anything you want me to know that I haven’t asked about?