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Business Client Intake Form
Let's get to know each other!
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Email
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Record my email address with my response
What is your first and last name?
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Your answer
Change the image to your business logo please.
Business Name
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Your answer
Are you interested in creating a new business or rebranding your current business?
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Your answer
What type of business do you have? LLC, sole proprietorship, partnership etc.
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Your answer
All information is for my use only.
All information is privately used between you and I. If you wish the information provided to be shared with other parties more action will be required before further action. Thank you.
Preferred method of contact
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Phone
Email
Email Address
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Your answer
Phone Number
Your answer
Location
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Your answer
Time Zone
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Your answer
Industry
Your answer
Website URL
Your answer
Briefly describe your business
Your answer
What type of services are you interested in?
Personal Branding
Small Business Branding
Emailing Strategy Plan
Brand Event Strategy Plan
Customizing Package
What do you hope to achieve working together?
Your answer
Have you previously used similar services? If so, please provide details.
Your answer
Do you currently have any in-house resources dedicated to the services needed? If so, please provide details.
Your answer
Do you have any concerns or initial questions?
Your answer
What are your main challenges or pain points in relation to these services?
Your answer
EIN
Your answer
What are your goals for the next 6 months? The next year?
Your answer
What is your budget?
Your answer
Is there any flexibility in your budget?
Your answer
What payment methods do you prefer?
Your answer
When would you like the services to start?
Your answer
What is the expected timeline for the completion of these services?
Your answer
Is there a specific deadline that must be met?
Your answer
Is there any additional information you would like us to know?
Your answer
How did you hear about me?
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Referal
Instagram
Direct
LinkedIn
Facebook
Other
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