Chuimedia

1

Unique ID

2

utm_source

3

utm_medium

4

utm_campaign

5

utm_term

6

utm_content

7

placement

8

device

9

gclid

10

fclid

11

Which growth objective would you like to achieve?* This field is required.Choose one that aligns with your current goals.

Increase online orders

Reduce customer churn

Increase net profitability

Acquire new customers

12

What type of business are you?* This field is required. Select from the drop down list

13

How many locations does your business have?* This field is required.Please note: we only work with locations based in Kenya at this time.

14

How many customers do you serve per day?* This field is required.This will help us build a road map for more traffic and sales

15

How many daily new customers do you want?* This field is required.This will help us build a road map for more traffic and sales

16

Is your business listed on any third party market places?* This field is required.e.g Jumia and ubereats

YES

NO

18

Company / Business Name?* This field is required.

example: Abc ltd

19

Who did you register with for {company}'s Mpesa till or Paybill number?* This field is required.

Safaricom

Kopokopo

20

What's your current position at {company}?* This field is required.

21

Full Name* This field is required.

First Name

Last Name

22

Email* This field is required.

example@example.com

23

Phone Number* This field is required.

Mobile number

24

Pipeline Value

25

Schedule your growth session call* This field is required.A quick 15 minute discovery call to see if Chui media is a fit for your business

26

Lastly, were you referred by a friend or colleague?

YES

NO

27

Help us say a big thank you :)Please provide their details below

Full Name

Phone number

28

City

29

Lead Title

30

Product

31

Referrer