Reading Remedy Form

Which of these best describes you?* This field is required.

Lovely Lady

Fabulous Fella

None of your Business!

How old are you?* This field is required.

Itty Bitty (under 12 years old)

A Teenage Dirtbag (13 - 19 years)

A Spring Chicken (20 - 30 years)

Glorious (30 - 40 years)

Glamorous (40 - 50 years)

Mature, like a fine wine (50 plus)

How would you describe your life?* This field is required.Choose as many as you like

Foot loose and Fancy Free. My time is my own!

Tired, Busy. What day is it?

I'm the old lady who lives in a shoe (kids of all sizes hanging off me)

Tortured by - and taxi driver for - Teenagers

Look up 'Work Horse' on Wikipedia. You'll find a picture of me.

Other

Can you tell me what your main occupation is (or was, if you are retired / not currently working)?* This field is required.This might feel a little personal, but I promise it is important.

What is the name of a book or book/s that you have loved?* This field is required.The more the merrier!

Have you ever read a book that you couldn't finish or didn't like?* This field is required.If so, what was it (I'm not a mind reader!)

When you read a book, how do you want to feel?* This field is required.Choose as many that apply

I want an escape. I need something to switch my brain off from the world around me.

I want to fall in love with a book. I want to hold it to my chest when I'm finished and weep because the characters aren't part of my life anymore.

Joy and Happiness. Why else would anyone read?

Despair, Sadness, Grief: Like my still beating heart has been ripped from my body.

I want to feel like the book is a warm hug. A comfort read!

As though my body is pumping with adrenaline and I don't know what will happen next.

I will read any words, any where, any time. I don't mind - as long as it's good.

Other

How do you read?* This field is required.

For 2 minutes every night before the book falls on my face and I'm fast asleep.

Any spare minute I can get. I'm like Roald Dahl's 'Matilda'

When I go on holidays. Poolside, marguerita or coffee in hand, sun beaming down. Bliss.

Depends on the book. If it's a ripper, whenever I can.

I'm in a reading slump. I need something to get me out of it!

Other

When you are reading a book, which of these elements/themes would you like to be included? * This field is required.Look - I know. You've reached that point in the form where you don't know if you can go on. But trust me - this is super important and will help me make the perfect recommendation for you!

Name* This field is required.

First Name

Last Name

Email* This field is required.

example@example.com

Phone Number* This field is required.

Area Code

Phone Number

Address* This field is required.

Street Address

Street Address Line 2

City

State / Territory

Post Code

Country

You'd never believe it, but I think that's all I need to know.Unless there is something else that you think I should know about specific reading preferences?

Anything else?

Payment* This field is required.

My Bag

Reading Remedies - A Curated List
This is a small fee for the service of providing a cannot-put-it-down book list for you to choose from! An email will be sent through with up to 3 recommendations.
$15.00 AUDEdit
Back
Reading Remedies - A Gift Wrapped Book
Experience the pure joy of completing this questionairre and having the perfect book handpicked, gift wrapped and sent to you.
$49.95 AUDEdit
Back

Payment

loading smart payment buttons...

Reading Remedy Form