Project Assessment

Please complete the brief questionnaire below if you’d like Wheatmark to consider working with you to publish a book. You don't need to have a completed manuscript to get started.

The more complete your answers, the better we’ll be able to assist you. As a thank-you gift for your carefully considered responses, we’ll email you our latest Special Report, The Author's Guide to Choosing a Publishing Service.

Note that your submission is for informational purposes only. Providing us with this information doesn’t guarantee that we’ll work with you to publish your book, nor does it obligate you to do anything else at all, ever.

We also respect your privacy and will only use your information for communication purposes. This is just between us!

Let's get started...

Tell Us About Yourself

Title/Salutation	--Choose One-- Mr. Ms. Mrs. Miss Dr. Rev.
First Name
Last Name
Primary Email
Website (if any)
Day-time Phone Number
Mobile Phone
Fax
Street Address
City
State / Province	--U.S. and Canada-- Alabama Alaska Alberta Arizona Arkansas British Columbia California Colorado Connecticut Delaware District of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Manitoba Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada Newfoundland/Labrador New Brunswick New Hampshire New Jersey New Mexico New York Northwest Territories North Carolina North Dakota Nova Scotia Nunavut Ohio Oklahoma Ontario Oregon Pennsylvania Prince Edward Island Puerto Rico Quebec Rhode Island Saskatchewan South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming Yukon
ZIP / Postal Code
Country
How did you hear about Wheatmark?	--Choose One-- Email Course Teleseminar Other or Referral
If other or referral, who?
Please provide a short biographical sketch (75 words max):
What is your occupation?	--Choose One--Academic Business Owner/Self-Employed Clergy/Religious Counseling Finance/Insurance/Realty Health Care/Medicine/Science Legal Management Office/Administrative Retired Sales/Marketing Stay-at-Home Speaker/Consultant Student Under 18 Other
Do you regularly speak to/train/consult with a group?	Yes No
How large is the group?	--Choose One--0-9 10-49 50-100 100-500 500 plus
How often do you speak/train/consult?	--Choose One--1-2 times a month 3-8 times a month 9 plus times a month
Have you published a book before?	--Choose One--No Yes Yes; sold over 500 copies Yes; sold over 2000 copies Yes; sold over 5000 copies
If yes, please list the titles and primary sales method.

Tell Us About Your Manuscript

Please complete this sentence: I view my book primarily as a...	--Choose One-- product to sell marketing tool both or don't know
Is your manuscript complete?	--Choose One--Yes No; it is over 75% complete No; it is over 50% complete No; it is over 25% complete No; it is under 25% complete No; I haven't started yet
Who is your book’s target audience?	--Choose One--Family and friends Professional associates / customers The general public A special niche market
What is your book’s title? (Working title OK.)
What is your book’s genre? (If other, include it in the next box.	--Choose One--Fiction General Nonfiction Business Memoir/Autobiography Self-Help/How To Other
Please give a brief description of your book (max 100 words):
Are you planning to publish the book by a specific date/event?
How long do you envision your finished book to be?	--Choose One--Under 50 pages 50-100 pages 100-200 pages 200-300 pages Over 300 pages
How do you plan on selling the book? (Select as many as applicable. On a PC, CTRL+click to select multiple options)	My Own Website Wheatmark Website Amazon & Other Online Stores Back of Room Sales Physical Bookstores Corporate/Premium Sales
Are you the final decision maker for this project?	Yes No
If not, who is?
Do you have a budget for your publishing project?	--Choose One--Yes; under $2K Yes; $2K-$5K Yes; $5K-$10K Yes; $10K-$20K Yes; over $20K Yes; but don't know the budget No; I will not invest money in this book

Common Problems Most Authors Experience

Are you having trouble with:
1. Finishing your manuscript?	Yes No
2. Finding a professional editor for your manuscript?	Yes No
3. Finding a professional illustrator for your book?	Yes No
4. Deciding on the best title for your book?	Yes No
5. Knowing who your target market (audience) is?	Yes No
6. Learning how to reach your target market?	Yes No
7. Figuring out how to publish your book?	Yes No
8. Establishing credibility as an expert in your field/profession?	Yes No
9. Marketing your already published book(s)?	Yes No
10. Booking speaking engagements?	Yes No
11. Getting publicity for yourself or your business?	Yes No
12. Taking your business/practice to the next level?	Yes No
13. Establishing a second, passive income?	Yes No
Choose the 3 biggest problems you face from the list above. Separate them by commas. Example: 3, 6, 11
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