Intake Form
Name
*
First Name
Last Name
Email
*
example@example.com
What stage of the writing process are you in?
*
Raw idea/structure
Writing in progress
Completed manuscript/revising
Looking at publishing
If you have started writing, how many words do you have so far (approximately)?
(If none, simply put N/A)
What gives you the most satisfaction in your writing life right now?
What gives you the most frustration in your writing life right now?
What are your goals for your book?
What is your book about in 250 words or less?
*
Why are you writing this book? What makes you the best person to write it?
Who is your target audience for this book?
I am committed to building an anti-racist business aligned with Diversity, Equity, and Inclusion principles. Please confirm you are on board with this initiative:
*
Yes
No
At the end of your free, 30-minute call, I will suggest the coaching services I believe would be the best fit for you. My current services are as follows: Twice per Month 1:1 Coaching ($750/month) / Unlimited Monthly Coaching, 20-min sessions, scheduled as objectives are met ($850/month). Please confirm these rates are acceptable to you.
*
Yes, if we are a good fit.
No, I am not in a financial position to afford coaching right now.
Please verify that you are human
*
Submit
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