Name:

Email Address:

Phone Number:

Date you'd like to have the list by:

(please allow AT LEAST 7-10 days)

Are you:
male
female

What age bracket are you in?
0 - 12 years old
13 - 17 years old
18 and over

Name some of your favorite authors:

List some of your favorite books:

Which categories of fiction do you especially enjoy reading?
(check all that apply)

Children's Literature Christian / Inspirational Fantasy Historical Fiction Horror		Mystery / Suspense Romances Science Fiction Westerns Young Adult Literature
other:

Which categories of non-fiction do you especially enjoy reading?
(check all that apply)

Biographies How-To / Do-It-Yourself Books Poetry History		Self Help Travel Books True Crime Art
other:

Do you want your reading list to contain:
all fiction titles
all non-fiction titles
a mix of fiction and non-fiction titles

Do you have any hobbies or interests that you'd like to read about
in the plot of a fiction novel?

Would you prefer that the fiction on your reading list contain:
male main characters
female main characters
a mix of male and female main characters

Name some books you have read that you did NOT like:
(fiction or non-fiction)

Are there any authors that you absolutely do NOT like?

Are there any subject areas, world issues, political views, etc.
that you would rather NOT read about?

You may use this space to tell us anything else about yourself or your
reading choices that has not been addressed by the questions above: