Proofer Sheet

Proofer Sheet
Client Name*

First NameLast Name
Title of work*
Type of work*
Page Count*
Description of Work*
Please write a 1-3 sentence description of this piece (synopsis), give us your impression of the story/writing, any other comments you feel will help us place this story. For poetry, one or two words will suffice.
Contains Adult Language?*

YesNo
Contains Adult Subject Matter?(rape, violence, incest, family violence, assault, animal cruelty, racism, and erotica/sex)*

YesNo
If contains Adult Subject Matter please specify:
State/Country?
Specify Religion and/or Ethnicity?
Indicate appropriate topics that capture the overall theme of work. Please pick at least three topics.*

AdventureDark Subject MatterDeath/DyingExperimentalFantasyGay - LGBTQIA themesHistoricalHorrorHumorMainstream/ContemporaryMemoirMysteryNatureOccult/SupernaturalPhilosophyPoetry - LyricalPoetry - NarrativePop CultureProtagonist - FemaleProtagonist - MalePsychologyRomance - Genre (think Harlequin)Science FictionSexSlice of LifeSocial IssuesSurrealThrillerViolenceWestern
Describe emotions.
Describe health issues.
Describe relationship dynamics.
Other topics not covered above.
Confidentiality Agreement. I have performed the work as listed above. I agree to keep all clients' work and personal information confidential. I agree that I will not divulge client base and/or other information obtained through Writer's Relief, Inc. either for my own use or that of outside sources.*

I agree to keep all information confidential.
Your name*

First NameLast Name
Today's Date*

MonthDayYear
Date
Should be Empty: