JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
Book Doula Waitlist Questionnaire
If you feel called into deeper creative companionship, join the Book Doula waitlist. I’ll reach out when a slot opens. Your reflections here help me prepare for the moment we begin shaping your project together.
Sign in to Google
to save your progress.
Learn more
* Indicates required question
Email
*
Your email
Name and pronouns
Your answer
What is your book or creative project?
Tell me about the form (novel, memoir, poetry, hybrid, nonfiction, screenplay, etc.) and anything you feel comfortable sharing about the project’s core idea or spirit.
*
Your answer
Where are you in the process right now? (Check all that apply, or answer freely)
*
Just beginning
Exploring ideas
Early drafting
Midway through
Revising
Nearing completion
Emotionally stuck / blocked
Other:
Required
What kind of support do you feel you need?
(Check any that resonate)
*
Clarity and direction
Structure and accountability
Emotional processing around the work
Creative momentum
Rituals and grounding practices
Intuition-based guidance
Narrative development
Help navigating self-doubt or imposter feelings
Other:
Required
What is the emotional pulse of this project for you?
What’s at stake? Why does this project matter to you now?
Your answer
What do you hope working with a Book Doula will help you move toward?
Your answer
Have you worked with a writing coach, editor, therapist, or similar support before?
Yes
No
Clear selection
If yes, what worked well for you? What didn’t?
Your answer
What is your preferred pace for this work?
Weekly
Every other week
Monthly
Seasonally / project milestones
I’m not sure yet
Clear selection
Are you open to integrating astrology, intuitive insight, or parts-based work into your creative process?
Yes
No
I’m curious
I’d like to hear more
Other:
Clear selection
Please share anything about your life circumstances (time, energy, emotional bandwidth) that might shape how we work together.
Your answer
Contact Information
Name, email, and preferred method of communication.
Your answer
When would you ideally like to begin?
(choose one)
As soon as possible
Within 1–2 months
Within 3–4 months
I’m flexible / just getting on the list for now
Clear selection
Is there anything else you want me to know as I consider your spot on the waitlist?
Your answer
A copy of your responses will be emailed to the address you provided.
Submit
Page 1 of 1
Clear form
Never submit passwords through Google Forms.
reCAPTCHA
Privacy
Terms
This content is neither created nor endorsed by Google. -
Terms of Service
-
Privacy Policy
Does this form look suspicious?
Report
Forms
Help and feedback
Contact form owner
Help Forms improve
Report