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Apply to Be a Guest on the What Triggers You? Podcast

This application is for listeners who’d like to be considered as a guest on What Triggers You, a podcast with Stacy Pellettieri, LCSW-R. This is not therapy and does not create a therapist-client relationship. Applications are reviewed by Stacy and her team. Applicants can be located anywhere in the world. 
If selected, you will be contacted to schedule a 15-minute call with Stacy. Finalists will then be notified within one week of that call if chosen for an episode: a one-time, ~1 hour call, recorded audio-only. Only snippets of the conversation will be used in the published episode (not the entire call). You will receive a separate privacy waiver to review and sign if you are a finalist.

Required checkboxes (must accept all):

Required checkboxes (must accept all):

Now That That’s Out of the Way… Let’s Get Started!

What is your first name? (We do not need to know your last name)

What is your email?

What country will you be calling in from and what time zone are you in?

In what age range are you?

In what age range are you?
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In one sentence, what is the TRIGGER you want to explore? (When X happens, I feel Y and I react by Z.)

What’s a recent example of this trigger showing up? (Where/when, what happened, what you felt, what you did)

What pattern do you notice in yourself when this trigger happens? (What thoughts, emotions, or body sensations show up? What do you tend to do next?)

What have you already tried, if anything, to work on this?

What would make this episode feel helpful for you as a guest?

How ready are you to talk about this on a recorded call?

How ready are you to talk about this on a recorded call?
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B
C

Are there any topics or details you want to avoid sharing on-air but that you may bring up during the call with Stacy as it may be relevant?

Upload an AUDIO file (mp3 or m4a) where you (1) introduce yourself (first name or pseudonym), (2) name the trigger you want to explore, and (3) briefly say why it matters to you. Keep your recording UNDER 3 MINUTES.

This recording is strictly for screening purposes and may be listened to by Stacy and her team.