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Prospective Client Questionnaire Form
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* Indicates required question
Email
*
Your email
What is your name? (First and Last, include titles)
*
Your answer
What is the name of your Company/Organization?
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Your answer
What is your business email address?
*
Your answer
Do you have a website? If yes, what is it?
*
Your answer
Are you using social media? If yes, what's your username (@handle) for your top 3 platforms? If not using social media, please tell us why not.
*
Your answer
What is the BEST Phone Number to reach you?
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Your answer
Project Description (Please provide a brief summary of your project, include your needs or lacks, challenges you face, and goals you desire to achieve. Tell us why you came to us for a solution.)
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Your answer
What is your target project completion deadline?
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MM
/
DD
/
YYYY
Do you have access to a minimum marketing/PR budget of $2,000-$5,000/month?
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Yes
No
Other:
We know you're busy. That's why our initial call will only take about 15 minutes of your time. Do you have any additional questions, concerns or information you would like to share or ask now so we can be sure to address them for you on our call?
*
Your answer
Send me a copy of my responses.
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