P os t Of f i ce B o x 1 0 6 2 4 , Ba l ti m ore , M a r yla nd 2 1 2 8 5 - 0 6 2 4
PUBLICATION QUESTIONNAIRE
Submission Guidelines
The questions and requests that follow pertain to you and your co-author(s) or co-editor(s), your
book, and the intended audience for your book. The information you provide will help us reach a
publishing decision about your work. If appropriate, the information will later be used to help us
develop effective marketing strategies designed specifically for your book. Also, your answers
will comprise the data required for the copyright and Library of Congress registration. Please be
as thorough as possible; attach additional sheets if necessary.
We notify all authors upon receipt of the proposal and once a decision is made, so there is
no need to follow up. If you would like us to return any materials to you, please include a selfaddressed envelope with correct postage.
When submitting your proposal, please include:
 This completed publication questionnaire
 A curriculum vitae or résumé for each author
 A table of contents with chapter descriptions
 If applicable, a list of contributing authors
 One or two sample chapters (if available)
 A list of references that will be consulted (if applicable)
 A self-addressed, stamped envelope if you would like your materials returned
Please submit all of the above to:
Via post:
Via email:
Mary Magnus
Health Professions Press
P.O. Box 10624
Baltimore, MD 21285-0624
mmagnus@healthpropress.com
410-337-9585
FAX 443-337-2608
w w w h e a l th p r o p r e s s . c o m
THE AUTHOR(S)/EDITOR(S)
Please provide the following information for the lead author/editor. Additional author/editor
pages for coauthors are at the end of this document.
Lead author/editor:
Legal name:
Name as it should
appear on title page:
Citizenship:
Degrees and
years earned:
Affiliation (title,
department, and
address):
Check if preferred
mailing address
Home address:
Check if preferred
mailing address
Preferred phone
number:
Fax number:
Email address:
Membership in
professional
associations
(position, year):
Authored/edited
books (title,
year, publisher,
price):
Journals in which
authored papers have
been published:
THE BOOK
1. Title and subtitle:
2. Alternative titles (please list at least two):
3. Estimated length of the finished manuscript in double-spaced 8-1/2" x 11" (with 1-inch
margins) pages (including figures, tables, and photographs):
4. Estimated number of tables, figures, and photographs:
5. Are there any accompanying products (e.g. DVD, CD-ROM, instructor's manual,
assessment tools, forms) or special format considerations recommended with the
manuscript?
6. Estimated completion date of manuscript:
7. Your estimate of optimum price for this book:
Maximum price (without overpricing):
8. Brief explanation of the scope and purpose of the proposed book, including the research
base and subject discipline:
9. Possible foreword author (a recognized authority in the field, preferably of your
acquaintance):
10. Please indicate any other publisher to whom this work has been submitted:
COMPETITION ANALYSIS
1. List any books with which yours may be directly competitive (author/editor, title, year,
publisher, and price).
2. Indicate how your book differs from those listed above and explain why the intended
audience would choose to use the proposed book over existing competitive titles:
3. Significant or unique features that should be emphasized in the promotional literature
(e.g., new subject area, distinguished contributors, unique chapters, specialized
structure):
MARKETING & PROMOTION
1. Describe the primary market (and level of readership) for this book:
2. List other audiences to whom this book will be of interest:
a. Scientific:
b. Medical or allied health:
c. Professional:
d. Lay (support groups, advocacy organizations, etc.):
e. Policymaking:
f. Other:
3. List any academic courses (and levels) for which this book might be appropriate as:
a. Primary course textbook:
b. Supplemental reading:
4. List the professional associations and societies to which this book should be advertised.
Include the names and dates of conferences with which publication or promotion of your
book should coincide:
5. List (in order of importance) the professional journals to which the published book
should be sent for review:
6. Names and email addresses of prominent individuals (journal editors, public figures) of
your acquaintance who may be helpful in the peer review and/or promotion of your book
proposal or manuscript:
THE AUTHOR(S)/EDITOR(S)
Please provide the following information for additional authors/editors.
Second author/editor:
Legal name:
Name as it should appear
on title page:
Citizenship:
Degrees and
years earned:
Affiliation (title,
department, and
address):
Check if preferred
mailing address
Home address:
Check if preferred
mailing address
Preferred phone number:
Fax number:
Email address:
Membership in
professional
associations
(position, year):
Authored/edited
books (title, year,
publisher, price):
Journals in which authored
papers have been
published:
Third author/editor:
Legal name:
Name as it should
appear on title page:
Citizenship:
Degrees and
years earned:
Affiliation (title,
department, and
address):
Check if preferred
mailing address
Home address:
Check if preferred
mailing address
Preferred phone
number:
Fax number:
Email address:
Membership in
professional
associations
(position, year):
Authored/edited
books (title,
year, publisher,
price):
Journals in which
authored papers have
been published:
Fourth author/editor:
Legal name:
Name as it should
appear on title page:
Citizenship:
Degrees and
years earned:
Affiliation (title,
department, and
address):
Check if preferred
mailing address
Home address:
Check if preferred
mailing address
Preferred phone
number:
Fax number:
Email address:
Membership in
professional
associations
(position, year):
Authored/edited
books (title,
year, publisher,
price):
Journals in which
authored papers have
been published: