Video Request Please answer all required questions and add in as much information as you feel is important or helpful. For questions, contact firstname.lastname@example.org. Name* First Last Phone*Email* Submission date* MM slash DD slash YYYY Timing/potential go-live date if there is a hard deadline MM slash DD slash YYYY Service line/department/area* Campaign (if appropriate)* What is the topic? Why is it important?Messaging pillar* Thought leadership Clinical excellence Research Innovation (technical, clinical, surgical, operations) Timely/topical subjects Provide details for which pillar(s) and how it fits into each:Audiences (check all that apply)* Current patient families Potential patient families Donors Internal Opinion leaders Primary care providers Research Specialists Other If other, please specify:* Goal/CTA: What action do we want the audience to take?Potential content formats Animation Blog Case study E-book Graphic Illustration Infographic Instagram story Audio Slide presentation Video White paper Other If other, please specify: Do webpages need to be updated? If so, please provide the linksDistribution channels*Check all that apply. Consumer newsletter Research newsletter PCP email Specialist email Facebook Instagram Twitter LinkedIn YouTube External website: bostonchildrens.org Webinar Podcast Other If other, please specify: Preferred shoot location * On-camera talent * Budget * Other creative considerations (title slide, graphics, underlying music, etc.)Anything else?PhoneThis field is for validation purposes and should be left unchanged.