Speaking, Interviews, and Other Requests

Please complete the form below if you are interested in booking Emily for an interview or speaking gig.

Name:

First Name

Last Name

Email:

Name of Event:

Website:

Add links to any social profiles (Instagram, Facebook, LinkedIn, Twitter, etc.):

Please share the format of the opportunity:

If other, please explain:

Briefly describe the focus or goal of your event / publication:

Please share a bit about your audience/demographic:

What is the size of your current audience? (email subscribers, social media following, etc.)

Why do you feel Emily is a good fit for this event?

Is this a paid engagement? If so, what is your speaker fee budget?

Please share any further details about you and this event:

Are you in perimenopause?