Author Self-Publishing Intake Form
Full Name
Email Address
example@example.com
Phone Number
Preferred Method of Communication Phone, Email, etc
Address
WebsiteSocial Media Handles if any
Book Title or Working Title
Who is this book intended for? (Your audience)
Is this your first book?
What is your primary goal for this book?
To share my story/message
To build a brand or platform
To generate income
Other
What stage is your manuscript in?
Idea/Concept
Rough Draft
Completed Manuscript
In Need of Revisions/Editing
Ready for Formatting/Publishing
Which of the following services are you seeking help with?
Writing and Developmental Editing
Proofreading
Book Cover Design
Interior Layout/Formatting
ISBN/Barcodes
Publishing on Amazon/KDP or other platforms
Marketing & Promotion STrategy
Building an Author Website
Author Coaching & Guidance
Do you have a target publishing date?
What inspired you to write this book?
What are your long term goals as an author?
Anything else we should know about your project?
Signature
Date
/
Month
/
Day
Year
Date
This intake form will help us assess your needs and provide the right support in your self publishing journey We look forward to partnering with you to bring your book to life
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