New Client Intake
I am ready to get to work but first, I need to learn more about you and your business needs. This preliminary questionnaire will help me determine how I can best be of service and to help with preparation for our possible phone consultation.
PLEASE TAKE NOTE
Complete and submit this form. If something does not apply to you, please either choose “Not Applicable” or type in "N/A", since an answer is required for all questions. I will confirm receipt and be in touch with you with the next steps within 24 hours.
I do not work at my highest level without specific direction and timely feedback. So I need to know that you are ready and willing to put in the same energy that you expect from me to accomplish all that needs to be done. Your participation is absolutely crucial to the success of our working relationship. *
Required
First and Last Name *
Your answer
Location (City, State) *
Your answer
Best email to reach you at *
Your answer
Best number to reach you at *
Your answer
What type of business do you have? Or planning to start? Check all that apply. *
Required
Website URL *
Your answer
Web Hosting (what company is your site hosted with?) *
Your answer
For Monthly Services
Monthly services refers to hiring me for an ongoing assistance in which you pay on a monthly basis.
What is your monthly budget? This identifies realistic expectations for the work you're looking to have done. *
Required
What services are you interested in? Check all that apply. *
Required
For A la Carte Services
A la carte services refers to hiring me for individual task that do no required a long-term commitment.
What is your budget? This identifies realistic expectations for the work you're looking to have done. *
Required
Which service(s) are you looking to have done? Check all that apply. *
Required
If you checked "None of the above (other)", please tell what you are looking for in the box below. *
Your answer
Is your project time-sensitive? Do you have a target date for completion? *
Your answer
Lastly...
Do you have any other questions at this time?
Your answer
How did you hear about me? *
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This form was created inside of Artiatesia Deal.