Email, Age range and sex are the only required fields. (We need your email in order to send you the e-book...)
Thanks for taking the time to fill this out! Doulos Christou Books www.douloschristou.com
What is your age range?
Under 18 18- 25 26- 35 36- 45 46- 55 Over 55
Male Female
High School Trade School Some College Associate Degree Bachelor's Degree Masters Degree Doctorate Degree
If in college, what college are you attending?
What are you studying?
Conservative Moderate Liberal Anarchist Other:
What is the most important political issue to you?
The Environment Abortion Poverty/ Economics War Death Penalty Other:
1: 2: 3:
Yes No
If yes, what type/ denomination of church?
Fiction Religion & Theology History Biographies Travel Classical Literature How-To-Books Science & Technology Buisness & Economics Politics Humor Sports Other:
Who are your FAVORITE authors?
1: 2: 3: 4: 5:
I am currently reading...
How much do you spend on books MONTHLY(On Average)?
$0- $25 $26- $50 $51- $100 Over $100
Where do you normally purchase books?
Online Chain Bookstore Independent Bookstore Mail Order Catalog Other:
Who are your 5 FAVORITE musical artists?
You should receive your e-book in your email within 48 hours after clicking the SEND button... Thanks again!