Client Intake Form

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Client Intake Form

Prior to our business consultation, please complete this form and submit it to me. This will be vital for having a productive call to see where I will be able to assist you in your business endeavors.

A scheduling form will be supplied for you to select a time that best suits your needs.

Thank you and I look forward to working with you soon.

Email *

Do you own a business?

Yes

Clear selection

Is your business product or service based?

Product based

Service based

Product & Service based

Online Only

Clear selection

Do you need assistance with this business?

Yes

Clear selection

Is this consult for an additional business?

Yes

Clear selection

What kind of new business do you want to create? (Include product or service idea)

Will you be web based or store front?

Web-based

Store Front

Both

I don't know.

Clear selection

Will you want to have items in stock or drop shipping?

In Stock

Dropshipping

Both

None

I dont' know.

Clear selection

What is your business budget?

Are you computer savvy?

Yes

Clear selection

How will you manage your business?

How will you market your business?

Social Media

Word of mouth

Google/Social Media Ads

Newspaper/Mail

What is your business launch date? *

YYYY

Send me a copy of my responses.

Submit

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