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FEELING STUCK? WHAT WOULD YOU ASK A CELEB THERAPIST WHO HAS THE TOOLS TO TURN YOUR LIFE AROUND?

Tell us 2-3 questions you'd like to ask, and we might just have you on the show!

First Name

Last Name

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Zip Code

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Secondary Phone No. (Optional)

Birthday

Tell us your story (Maximum 250 words). Please limit your response to information you would be comfortable sharing on air.

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Are you willing to appear on the show?

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The Drew Barrymore Show

FEELING STUCK? WHAT WOULD YOU ASK A CELEB THERAPIST WHO HAS THE TOOLS TO TURN YOUR LIFE AROUND?

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