WELCOME This isn’t a Show about Hype or Hustle- It’s about Disruption, Rewiring, Overcoming Obstacles, Raw Intention, and Real Stories about the Reality Elite Performance. No Fluff. Name * First Name Last Name Email * Phone * (###) ### #### Website/LinkedIn Title/Profession What Topic or Angle would you most like to speak about? (eg. Performance Under Pressure, Overcoming Setbacks, Mindset, Rewiring Identity) * Preferred Date MM DD YYYY What is one setback, habit, or patterned have you interrupted or overcome on your journey? * Is there anything you want to Rewire or Interrupt Live on the show? * Do you have a specific story, turning point, or moment that shaped your path? * Are you Open to having an authentic vulnerable "Science Meets Soul" conversation? * Have you spoken no a stage or podcast before? If so drop the link below. Is there anything else we should know before booking? How did you hear about us? * Social Media Word of Mouth You Reached Out Other Thank you!
