Project Assessment

Please complete the brief questionnaire below if you’d like Wheatmark to consider working with you to publish your book. The more complete your answers, the better we’ll be able to assist you. As a small thank-you gift for your carefully considered responses, we’ll email you our latest Special Report, The Seven "Insider" Secrets to Publishing Success (PDF).

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. Also, we respect your privacy and will not share your information with anyone or use it for any other purposes. This is just between us!

Tell Us About Yourself
Title/Salutation
First Name
Last Name
Email
Website (if any)
Phone Number
Mobile Phone
Fax
Street Address
City
State / Province
ZIP / Postal Code
Country
How did you hear about Wheatmark?
If other or referral, who?
Please provide a short biographical sketch (75 words max):
What is your occupation?
Do you regularly speak to/train/consult with a group?
Yes No
How large is the group?
How often do you speak/train/consult?
Have you published a book before?
Is yes, please list the titles and primary sales method.
Tell Us About Your Manuscript
Is your manuscript complete?
What is your book’s genre?
Who is your book’s target audience?
What is your book’s title?
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?
How do you plan on selling the book? (Select as many as applicable.)
Are you the final decision maker for this project?
Yes No
If not, who is?
Do you have a budget for your publishing project?
Common Problems Most Authors Experience
Do you have a problem 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
14. Establishing a reputation as a successful fiction author?
Yes No
15. Establishing a reputation as a successful children’s book author?
Yes No
Choose the 3 biggest problems you face from the list above. Separate them by commas. Example: 3, 6, 11

We respect your privacy and will not share this information or use it for any other purposes.

Wheatmark, Inc. 610 E Delano St Ste 104, Tucson, AZ 85705
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