First name

Last name

Country

Cell/mobile number (inc. international dialling code)

Time zone

Email

Alternative email

Full mailing address

Primary website URL

Blog URL (if applicable)

1) Are you currently a published author? 1) Are you currently a published author? YES NO

2) Why is a book important to you?

3) What is the topic of the book? (Don't worry if you're not sure yet. We will work together to find the best subject. For now, just jot down ideas)

4) Who is the ideal reader of the book? (Please give as much detail as possible.)

5) Who are you targeting with your book? (Who is your audience?)

6) What is your target date for becoming a published author?

7) What do you hope for the book to do for you and your business? Highlight all that apply. 7) What do you hope for the book to do for you and your business? Highlight all that apply. Gain market reach Secure podcast interviews Obtain speaking engagements Market my business Generate revenues Enroll clients Secure consulting contracts Obtain funding for my business Publicity and marketing opportunities

8) What are your current marketing and promotions strategies for your business?

9) How much do you invest annually in your current marketing and PR strategies? 9) How much do you invest annually in your current marketing and PR strategies? $5,000 or less $5,000-15,000 $15,000-40,000 $40,000-100,000 $100,000+

10) Describe the nature of your business in as much detail as possible.

11) How long have you been in your current business?

12) Describe your ideal client.

13) Do you want to write your book or have a ghostwriter write for you? 13) Do you want to write your book or have a ghostwriter write for you? Write my book Ghostwriter

14) Are you the decision maker or is someone else involved in the process (e.g. family member, business partner, investor)? 14) Are you the decision maker or is someone else involved in the process (e.g. family member, business partner, investor)? YES NO