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Consulting Appointment Request Form

To prepare for a FREE 25 minute consulting appointment, please answer these questions as thoroughly as possible.
Name

First NameLast Name
E-mail
example@example.com
Address

Street Address

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CityState / Province

Postal / Zip CodeCountry
Website
Phone Number
Format: (000) 000-0000.
Publishing adviceWriting my bookHelp determining if I should write a book?
I have a book idea but haven't started writingI’ve started but need help with structure and directionI have a full draft but need feedback and revisionsI’m nearly finished and preparing to publishI want education about the book world (writing & publishing)
MemoirFictionNon-FictionDon't KnowOther
If you wrote "Other," please elaborate here.
What is your book about? What is its central theme and message? (Tell me your working title too)
Who is your ideal reader?
Less than 6 months6 months–1 year1–3 yearsMore than 3 years
Finding time to writeStructuring my bookOvercoming self-doubt & resistanceKnowing if my book is “good enough”Editing & revisionsUnderstanding the publishing processMarketing & building an audience
Elaborate on any of the above:
What are your writing goals? What might get in the way of them?
Have you worked with a writing coach, editor, or book consultant before? YES or NO (plus details). Type a question
Type option 1Type option 3Type option 4
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Consulting Appointment Request Form