Critical Opportunity Pre-Interview
PRIOR TO FILLING OUT THIS FORM, PLEASE EMAIL DIANE@WHATWORKSCONSULTANTS.COM TO REQUEST A BOOK SAMPLE WHICH INCLUDES A SYNOPSIS, CHAPTER SUMMARIES, AND A SAMPLE CHAPTER OF THE BOOK.

Please fill out this form to be considered for inclusion in the book Critical Opportunity: Transforming Your Challenges to Create Opportunity.

Email address *
Please fill out this form in its entirety to be considered.
Have you read the chapter summaries and sample chapter? (Please at least read the book synposis and chapter summaries before applying) *
What chapter(s) do you think your story would fit best in? *
Required
Briefly summarize your story. *
Your answer
Which category/categories would this story fit into? *
Required
Which of these downward spiral behaviors are in your story? *
Required
Which of these upward spiral behaviors are in your story? *
Required
How many subscibers do you have on your email list? *
Your answer
How many followers do you have on Facebook? *
Your answer
How many followers do you have on Instagram? *
Your answer
How many followers do you have on YouTube? *
Your answer
How many followers do you have on Twitter? *
Your answer
What other social media channels do you use and how many followers on those? *
Your answer
Tell me about any other ways you could tell people about this book when it comes out. Please include audience numbers. *
Your answer
Can you refer me to speaking opportunities for the book when it comes out? *
If yes, what speaking opportunities come to mind? *
Your answer
Are you available for an interview, recorded on Zoom, in July or August 2019 to determine fit for the book? *
If chosen, do you agree to tell your contacts about the book? *
Please leave your full name, company, title, address, phone number, and email address. List the URLs for social media channels. *
Your answer
Submit
Never submit passwords through Google Forms.
reCAPTCHA
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service