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The Publishing Institute's Questions for Assessment

Please note: Any information you share with us shall be kept completely confidential. Your name or contact information will never be shared or sold.

Name
Address
City
State
Zip
Phone
Email
Cell
Why do you want to write a book?
What is your idea of success?
What kind of book are you writing?

Memoir
Fiction (Description:
How-To
Poetry
Children’s book
Young adult book

What is the title of your book?
At what stage are you in the writing process?
Are you in a writers’ group?

Have you written your manuscript?
If you have written your manuscript, how many words is it? (You can find this out by clicking on "Tools" and then "Word Count" in MS Word).
Why have you contacted The Publishing Institute?
How did you hear about The Publishing Institute?
 Referral (Name:
Email
Workshop
Event
Other

2625 S. Greeley St., Suite 201, Milwaukee, WI 53207 | Tel: 608-576-9747
Toll-free: 888-495-9748 | Fax: (262) –565-2058 | info@thepublishinginstitute.com

The Publishing Institute is an imprint of HenschelHaus Publishing, inc.