Thank you for your interest in Elephant Talk!
Fill out our brief questionnaire to be considered for the show.
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What are your names? *

Please provide your first and last names.
 
What are your ages?

 
Both partners need to be willing to be interviewed for the podcast. Please discuss and confirm you are both wanting and willing to participate. *

     
 
What is the current status of your relationship?


 
Which email address should we use? *

Don't worry - we aren't going to spam you.
 
In what city and state do you live? *

 
Why do you want to participate in this recorded conversation? What might be an outcome of it? *

 
Is there a particular topic or issue you would like to discuss during the recording?

Thank you for your interest in Elephant Talk! We are excited to hear from you.
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