Name
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Email
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Phone
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Company Name
Current Website URL
What does Your Business Sell or What Service Do You Provide?
Occasionally send me your monthly newsletter and other valuable revenue generating, business building information.
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YES
NO
How Many Years Have You Been In Business?
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Less Than 1 year
Less Than 3 years
More Than 3 years
More Than 10 years
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How Many People Are On Your Team?
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Just Me
Less Then 5
Less Then 10
Less Then 30
More Then 30
More Then 100
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Are You Happy With Your Current Business Branding, Logo, And Other Graphics?
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Yes
No
Who Is Your Target Audience?
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What Sets Apart Your Business From Your Competition?
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Do You Already Have Text or Sales Copy That Can Be Used For Your Website Marketing?
Yes
No
What Is Your Businesses Monthly Marketing Budget?
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Less than $1,000/mo
Less than $1,000/mo
Less than $3,000/mo
$3,000/mo or More
$10,000/mo or More
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How Many New Leads Does Your Business Receive Per Month?
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What Are Your Short Term Business Objectives That We Can Help You With?
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What Are Your Long Term Business Objectives That We Can Help You With?
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How Are You Currently Generating Leads & Customers For Your Business?
Word of Mouth?
Referrals?
Affiliates?
Online?
Advertising?
Others: (Please Specify)
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