Survey - Please help us serve you

To serve you better, help you streamline your job and enhance your efficiency and effectiveness, we've developed the following survey of your needs and preferences. We'd appreciate your taking a few minutes to let us know about yourself, your interests and how you like to communicate.

Thank you,
John Raatz

If you have previously registered with our site, type in your name only and update your record if necessary. Thank you.

Name

Title

Media Name

Address

City

State

Zip Code

Phone

Fax

(Note: Your e-mail address will NOT be shared with anyone.)

I prefer initial contact in the form of:

Phone	Mail	Email	Fax

I prefer follow-up communications via:

Phone	Mail	Email	Fax
Visioneering website

If phone follow-up calls are preferred, the best time(s) to call me is/are

Do not call me during the following times:

How often may we follow-up (without overly intruding on your time) to determine the status of your interest in a project we've sent to you?

In what formats do you prefer to receive information:

Printed	Floppy disk	CD	PDF files
Email

I am interested in the following subject areas (Please check all that apply): BOOKS
	Religions, Spirituality, Mysticism, New Age
	Psychology, Self Help, Personal Development, Inspiration
	Health, Fitness, Nutrition, Holistic Healing, Wellness
	Business, Management, Careers
	Relationships, Human Sexuality
	Nature, Environment, Ecology
	Social Issues, Current Affairs, Politics
	Cooking, Food
	How-To
	Design, Architecture, Gardening, Home
	Family Life, Parenting, Child Care
	Popular Culture
	Gifts, Coffee Table
	Humor
	Art, Photography
	Music
	Film, Entertainment
	Fiction
	Science, Technology
	Travel
	Autobiography, Biography, Memoirs
MUSIC
	Rock/Pop
	Jazz
	Blues
	Folk
	World
	New Age
	Classical

I dislike publicists who do the following (e.g. "send surveys to complete!"):

I wish publicists would more often do the following:

What suggestions can you offer for maximizing the quality of our contact with you?

Did we forget anything?

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