First Name

Last Name

Email Address

Phone

Business Name

Brand Name

Website Address

Street Address

Address Line 2

City

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Zip Code

What is your current situation (not what you want it to be) ?

What phase of business are you currently in? What phase of business are you currently in? I have a great idea No sales yet Sales, but not steady Semi-regular sales, but not steady Regular sales and want to add additional income streams

On average, how much is each new client worth to you? On average, how much is each new client worth to you? Not sure, need to figure this out Under $200 $200 - $1000 $1000 - $2000 $2000 - $3000 $3000 +

If you could change three things in your business over the next 6 months, what would they be?

Where do you think you need the most assistance? Where do you think you need the most assistance?Strategic Digital Marketing RoadmapDigital Marketing StrategyBrand identity and designLaunch / Relaunch WebsiteDigital Marketing (social media, ads, seo, email marketing, etc.)Product DevelopmentProduct ManagmentGeneral Advice

What do you think is your biggest obstacle in reaching your current goals?

How did you hear about me?