Rock UR Website Questionnaire
Please complete this application in order to help us understand where you are currently with your online presence.
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Email *
Name *
Best Number to Reach You *
Business Name *
Do you have a current website?
Clear selection
If Yes, what's your URL.
What is Your Business About? i.e. Coaching, Speaking, Real Estate, Consulting, etc. Who do you serve - Age range, gender, location
Why does this group of people want to work with you? (what makes you special and unique)
List all the services/offerings you would like to promote on your website.
Do you already have clients?
Clear selection
What do your clients/colleagues admire most about you?
What big dream/result/transformation do you bring your clients?
What are the top 3 adjectives that you would use to describe yourself? (i.e. Ambition, Caring, Leadership)
Who Are Your Competitors and How Are You Different *
When would you like to get started?
Do you currently have a logo?
Clear selection
Do You Need Hosting Services?
Clear selection
Are you on social? Please provide the channels and url (i.e. Facebook:
Urgency *
Magic Wand - If I had a magic wand and could wave it for you, what is it that you would want to happen more than anything else, with your online presence?
If you could fast forward a year from now, what were your biggest wins.
Check all your current challenges
How would your business benefit if you overcame these challenges? *
Ideal Investment Range *
Last Step...
Grab a slot on my calendar so we can meet!
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