* 1. What type of writing do you do? (Check all that apply.)

* 2. If you write short stories or novels, what is your genre? (Check all that apply.)

* 3. If you write nonfiction, what type? (Check all that apply)

* 4. Are you interested in joining a critique group?

* 5. Are you interested in publishing your work?

* 6. Are you interested in leading a critique group?

* 7. If you are interested in joining or leading a critique group, what part of town do you live in? Please specify area (e.g., Decatur) and zip code (e.g., 30033).

* 8. If you are interested in joining or leading a critique group, may we share your name and email with other members who share your interest and may be geographically close?

* 9. I would be willing to travel approximately ____ miles to attend or lead a critique group:

* 10. Are you or have you ever been a paid member of the Village Writers Group?

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