Name(Required) First Last Media Outlet / Platform Name:(Required)Your Role/Position:(Required)Email(Required) Phone Number (optional):Media Type:(Required)PodcastPodcastOnline PublicationPrint PublicationSocial Media / InfluencerOtherMedia Reach / Followers / Subscribers (approximate):(Required)Other (please specify)(Required)Topic or Focus of the Interview:(Required)Proposed Interview Format: Live interview Pre-recorded Email questions Other Other (please specify)(Required)Approximate Time Commitment:(Required)(e.g. 15 min phone call, 30 min podcast, etc.) Preferred Dates or Timeframe:(Required)Link(s) to Previous Interviews or Media Coverage (if available):(Required)Any other relevant information or context?(Required)Due to high demand, Russ is unable to accept most media invitations. Priority is given to high-impact media with strong public health relevance. Δ
