Personalized Reading & Film List

Personalized Reading & Film List
Your Name*

First NameLast Name
Your Phone Number*

Area CodePhone Number
How do you prefer to receive your reading or viewing list?*
Your Pick Up Location:*
Your Email*

Confirmation Emailexample@example.com
Have you requested a personalized reading list before?*

YesNo
What type of list are you requesting?*

ReadingFilms
What genre of films do you enjoy? (Please select all that apply)*

Action & AdventureAnimeComedyDocumentaryDramaEducationalExercise & FitnessFamilyFantasyForeignHorrorMusicalRomanceScience FictionSportsSuperheroSuspense/ThrillerWesternOther
Other Film Genre:*
Would you like us to exclude any of the following MPAA approved ratings from your list of films? (Please select all that apply)*

G - General AudiencesPG - Parental Guidance SuggestedPG-13 - Parents Strongly CautionedR - RestrictedNot Rated or Unrated
What books do you enjoy?*

FictionNonfictionBoth
What formats do you prefer?*

Printed BooksLarge PrintAudio BookseBooksDVD
What age group or reading level would you like the book marketed toward? (Please select all that apply)*

ToddlerPre-school6-1011-1415-1818-2525-3535-4545-6565 and Older
What genres of Fiction enjoy reading? (Please select all that apply)*

African-AmericanBest SellersClassicsDark FantasyFantasyGraphic NovelsHistorical FictionHorrorHumorInspirationalLiterary FictionMysteryRomanceScience FictionThrillerUrban FictionWesternOther Fiction
Other Fiction:*
What genres of Non-Fiction do you enjoy reading? (Please select all that apply)*

AdventureArtBiographyBusinessCraftFashionFilm & TelevisionFood & CookingGardeningHistoryHome ImprovementMusicSelf-ImprovementScience WritingSpiritualityTechnologyTravelTrue CrimeOther Non-Fiction
Other Non-Fiction:*
Please let us know what topics to avoid. We will try to avoid these, but cannot guarantee there will not be something unacceptable to you (Please select all that apply):*

Explicit Sexual ContentGraphic LanguagePolitical ThemesReligious ThemesViolence
Please tell us the titles of some books or films you enjoy:
Please tell us some of your favorite authors, writers, or directors:
Are there any authors, books, or genres you Do Not enjoy?
Is there anything else you would like to add to help us with your selection?
Should be Empty: