The Book of Comforts - Take Our Survey!

When you are feeling distressed –
whether it's due to something physical, emotional or spiritual –
what types of things do you do to comfort yourself?

The answer could be a paragraph or two, a sentence or two, a list of single words or phrases - really any format you like, but preferably not more than 100 words.


FIRST & LAST NAME
AGE
OCCUPATION
ADDRESS
CITY
STATE
ZIP
E-MAIL
Check this box if you’d like us to pop you an e-mail or flyer from time to time about special offers or speaking/book signing events. We promise not to sell your info or to bombard you with ours. Honestly, we try not to be annoying – just helpful.

If we use your answer in another book, it will be identified by first name, age and occupation only, just to give the reader some point of reference about you.
And we will send you a FREE BOOK!

We will correct spelling and edit for length and space requirements.

As an alternative, you may wish to mail your survey response to:

Blue Epiphany
P.O. Box 1376
Templeton, California 93465