I agree. Not worth reading it. It's not about how to do the time optimzing. Talk lot about "bulding trust" "mentain relationship". The only point maybe related to the title is "get a personal orgnizer". I've got a palm pilot since 1996, keep updating the new versions, till now. But I'm not "highly effective" person. Maybe some other books are better: "Good to great", "build to last", "break all the rules" for business owners, "see you at top" for self inspiration.