Form

Client Intake Form

Email*

First name*

Last name*

Phone number*

Company name

Website URL

Street address

City

State/Region

What is the greatest challenge facing your business right now? (Check all that apply)

What has brought you results in your own online marketing?

How well versed are in you in the following digital marketing arenas (on a scale of 1 to 5, 1 being the highest)?

Email Marketing

Facebook

Twitter

Instagram or Pinterest

Video/Live Streaming (Youtube,Periscope, Facebook Live)

SEO (Search Engine Optimization)

Tools (Schedulers, Graphics, Content Marketing Aggregator)

Are you currently on any of the following social platforms? If so please type the URL for each platform.

Personal Facebook

Company Facebook

Personal LinkedIn

Company LinkedIn

Personal Pinterest

Twitter Username

Company Twitter

Youtube

Who do you consider to be your competitors? (specific or general i.e. duplicate only some of your product or service offerings)

Do you have a business plan, marketing plan and/or communication plan? Yes, please attach. If no, can you describe your key success factors and core competencies?

Provide customer demographics and/or typical buyer persona – ie. Age/Gender/Location/Income/Homeowner/Parent; who is your ideal client? (If not clear I can help you with this.)

Anything else I need to know to make this collaboration successful for you?

Thanks and We look forward to working with you!

If you have any questions call us: 410-967-2881

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