*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 Name Last Name
Phone Number *
E-mail *
example@example.com
Website *
What Best Describes Your Business? *

Plastic Surgeon or MedSpa CBD Cannabis Alcohol Alternative Social Impact Health & Wellness Other
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): *

SEO Google Ads Organic Social Paid Social Retargeting Review Campaigns Traditional Advertising (radio, TV, print) Email Marketing None of the Above Other
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-$50,000 Over $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? *

Immediately 2 weeks - 1 month 1-3 months 3+ months I'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 value YES - I'm Ready to scale fast!
I Have the Following Assets: *

Website Market Research Brand Kit Google Ad Acct Facebook Ad Acct Facebook Pixel Data 5K+ Followers on IG Email List None of the above Other
Anything Else We Should Know?
Should be Empty:

VIVID Collective Discovery Call Request Form