*VIVID* Collective NEW CLIENT APPLICATION FORM

VIVID Collective Discovery Call Request Form

Please complete the form below so we can initiate your Discovery Call
Full Name*

First NameLast Name
Phone Number*
Format: (000) 000-0000.
E-mail*
example@example.com
Website*
What Best Describes Your Business?*

Plastic Surgeon or MedSpaCBDCannabisAlcohol AlternativeSocial ImpactHealth & WellnessOther
Describe Your Business in a Nutshell:*
How is Your Business Making an Impact in the World?*
What's Included in Your Current Marketing Program (select all that apply):*

SEOGoogle AdsOrganic SocialPaid SocialRetargetingReview CampaignsTraditional Advertising (radio, TV, print)Email MarketingNone of the AboveOther
How Much Have You Spent On Marketing to Date?*

$0 - $1,000$1,000 - $5,000$5000 - $10,000$10,000-$20,000$20,000-$50,000Over $50,000
What is Your Annual Revenue Goal?*

Less than $1M$1M - $5M$5M - $10M$10M+
What is Your Current Annual Revenue?*

Less than $750K$750K - $1M$1M - $5M$5M - $10M$10M+
What Has Been Happening With Your Marketing? What's Working? What's Not Working? *
Are You Currently Working With Another Agency? *
If So, Are You in a Contract?
If We're the Perfect Match - When Would You Like to Get Started?*

Immediately2 weeks - 1 month1-3 months3+ monthsI'm just doing research
When You Reach Your Goals, What Does This Empower You to Do? Ex: Spend more time with family, take more time off, start another business, give back to charity...*
Are You Currently In A Position To Invest In Your Business?*

Not Really - But I know I need help!Depends - willing to invest if I see the valueYES - I'm Ready to scale fast!
I Have the Following Assets:*

WebsiteMarket ResearchBrand KitGoogle Ad AcctFacebook Ad AcctFacebook Pixel Data5K+ Followers on IGEmail ListNone of the aboveOther
Anything Else We Should Know?
Should be Empty:

VIVID Collective Discovery Call Request Form