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Full Name
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Company / Brand
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Email
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Phone
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Business Details:
What Industry Is Your Business In?
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What product or service are you offering?
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How long have you been in business?
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Just starting
Less than 1 year
1-3 years
3+ years
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What are your primary business goals for the next 6 months? (Select all that apply)
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Increase client base
Improve online presence
Streamline operations
Enhance client engagement
Current Online Efforts:
Do you currently have a website?
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Yes
No
If yes, what is your website URL?
Do you use any of the following marketing tools? (Select all that apply)
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Email marketing
Social media marketing
CRM software
Online booking system
Funnels / Landing Pages
E-COM Online Shop
None Yet
Services Needed:
Which services are you most interested in? (Select all that apply)
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Website Creation
Lead Generation & Email Campaigns
Automations/CRM integrations
Strategic Consulting & Analysis
Social Media Strategy & Management
Digital Advertising & Campaigns
Influencer Partnerships & Brand Growth
What is the most important outcome you hope to achieve with these services?
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Availability:
What is your estimated budget for this project?
Less than $1,000
$1,000 - $3,000
$3,000 - $5,000
$5,000 - $10,000
Over $10,000
Not sure yet
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How soon are you looking to start?
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Immediately
Within the next month
Within the next 3 months
Are you available for a follow-up call to discuss your needs in more detail?
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Yes
No
Please provide any additional information or specific requirements you have: