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Google Ads + Website Bundle Questionnaire
Let's grow your roadside assistance/ towing business, fill this form so we can get started..
36
Questions
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1
Business Name
*
This field is required.
Tell us your business name.
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2
DBA Name (Doing Business As Name)
Does your business have a DBA name? Some don’t.
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3
# Of Years In Business?
*
This field is required.
Tell us about how long you’ve been running ?
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4
Name
*
This field is required.
First Name
Last Name
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5
Personal Email
*
This field is required.
example@example.com Personal Email
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6
Email Used For Business If Different From Personal?
example@example.com we will use this email for setting up your services.
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7
Person Phone Number
*
This field is required.
Please enter a valid phone number.
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8
Best Time To Reach You?
*
This field is required.
What’s the best time to connect?
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9
Website Url (if any)
Tell us about your website if any?
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10
Do you already have an ads account? If yes, What is your account ID?
We won’t edit your account, but if you want to share information with us you’re more than welcome to give us access.
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11
Hours Of Operation?
*
This field is required.
What time do you want your ads to run? This will be your permanent schedule.
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12
# Of trucks In Your Fleet
*
This field is required.
You may not have a Fleet and that’s OK. How many vehicles?
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13
Types Of Trucks In Your Fleet I.E. Flat Beds, Pickup Truck, Cars, SUV's Wheel Lifts?
*
This field is required.
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14
Do You Tow Vehicles?
*
This field is required.
No
Yes
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15
Do You Provide Roadside Assistance Services
*
This field is required.
No
Yes
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16
Check All Services You Can Perform
Tire Changes (has spare)
Tire Repair
Jump Starts
Fuel Delivery
Lockout Services
Mobile Battery Installation
Towing Services
Mobile Tire Installation
Stripped Lug Nuts
Locking Lug Nuts
Parts Delivery
Mobile Mechanic (light)
Heavy Duty Jumps
Heavy Duty Tire Changes
Mobile Mechanic (heavy)
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17
What Are Your Roadside Assistance Rates? [Be Specific]
*
This field is required.
We recommend $75 - $85 but whatever prices you have are good.
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18
What Are Your Towing Rates? [Be Specific]
$100 hook $5 per mile or use a flat rate ?
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19
Business Radius Address
*
This field is required.
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Please Select
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
The Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo
Cook Islands
Costa Rica
Cote d'Ivoire
Croatia
Cuba
Curaçao
Cyprus
Czech Republic
Democratic Republic of the Congo
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Polynesia
Gabon
The Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
North Korea
South Korea
Kosovo
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Nagorno-Karabakh
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
Turkish Republic of Northern Cyprus
Northern Mariana
Norway
Oman
Pakistan
Palau
Palestine
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn Islands
Poland
Portugal
Puerto Rico
Qatar
Republic of the Congo
Romania
Russia
Rwanda
Saint Barthelemy
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
Somaliland
South Africa
South Ossetia
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard
eSwatini
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Transnistria Pridnestrovie
Trinidad and Tobago
Tristan da Cunha
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
British Virgin Islands
Isle of Man
US Virgin Islands
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Other
Please Select
Please Select
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
The Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo
Cook Islands
Costa Rica
Cote d'Ivoire
Croatia
Cuba
Curaçao
Cyprus
Czech Republic
Democratic Republic of the Congo
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Polynesia
Gabon
The Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
North Korea
South Korea
Kosovo
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Nagorno-Karabakh
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
Turkish Republic of Northern Cyprus
Northern Mariana
Norway
Oman
Pakistan
Palau
Palestine
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn Islands
Poland
Portugal
Puerto Rico
Qatar
Republic of the Congo
Romania
Russia
Rwanda
Saint Barthelemy
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
Somaliland
South Africa
South Ossetia
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard
eSwatini
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Transnistria Pridnestrovie
Trinidad and Tobago
Tristan da Cunha
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
British Virgin Islands
Isle of Man
US Virgin Islands
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Other
Country
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20
Desired Radius (in miles) From Radius Address? (How Far Are You Willing To Go?)
*
This field is required.
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21
Name 8 Local Cities You Want to Target
*
This field is required.
This could be the main areas that you want to focus in, we use this on your website.
Typically cities where you operate in.
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22
Business Phone Number (used for ads)
*
This field is required.
Nunber used to ring when you get calls.
Please enter a valid phone number.
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23
Call-Rail is Recommended. It will record and monitor your phone calls. It will create a new business number for you, and we will use this number as your business number for all marketing material.
*
This field is required.
You can choose to have a CallRail number, or you can choose to have calls sent directly to your line. If you don’t have a dedicated Business Line , we suggest you have a CallRail number. If you have a business line, CallRail is optional but highly recommended. We use it to review your sales process and help you become a better seller. Get it.
YES, I Want A Call Rail Number
NO, I Dont Want Call Rail Nunber.
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24
What Makes You Different? How Do You Stand Out From Competitors?
*
This field is required.
If you had to brag about something, what would it be? (Business related)
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25
Do Your Business Have A Logo? Please Upload It here.
Drag and drop files here
Select files to upload
Max. file size
: 10.6MB
Browse Files
If you have a logo, let us use it. If not, we’ll make something simple for you.
Cancel
of
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26
No Logo, No Problem. What Logo Design Would You Like To Have? Select 1 Or 2 You prefer.
Towing Logo 1
Roadside Logo 1
Towing Logo 2
Roadside Logo 2
Towing Logo 3
Roadside Logo 3
Roadside Logo 4
Heavy Logo 1
Heavy Logo 2
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27
What Website Design Do You Prefer ?
*
This field is required.
Pick one from below, we use this design to build your website. It’s a matter of preference.
WHITE & BLUE
YELLOW & RED
GREEN & YELLOW
GREEN & BLACK
YELLOW AND BLUE
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28
What Payment Types Do You Accept?
*
This field is required.
Cash, cash, app, cards, debit, credit, etc.
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29
What Colors Do You Like ?
What do you want your main website colors to be. Leave blank if you don’t have a preference.
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30
Can We Add A Discount To Your Ads? "$5.00 Off Any Service?
*
This field is required.
Yes
No
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31
You can receive phone calls and form submissions for service requests. Form submissions are optional, but we recommend that you use them.
*
This field is required.
Do you want to keep or remove the forms? This will make it so that the only option people have to reach you is by phone call.
Keep, I want to receive both calls and form submissions from customers. (Recommended)
Remove, I only want to receive phone calls from customers. I do not wish to be contacted by form or form submissions.
I don’t understand this question, let Roadside Genius do what’s best for me.
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32
How many Employees Do You Have?
Maybe you don’t have employees, that’s OK.
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33
Are You Fully Insured With Commercial Auto & General Liability?
*
This field is required.
Yes
No
Working On It
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34
Do You Mind Receiving Texts From Customers?
*
This field is required.
Yes
No
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35
What Time Zone Are You In?
Easter, Central, etc
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36
How Did You Hear About Roadside Genius?
*
This field is required.
Select one
Youtube
Tiktok
Email
Facebook
Twitter
Instagram
Saw The Website
I Was Referred By Someone
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37
Type The Name or Code Of The Person Who Referred You!
We want to send them a thank you. Skip this if no one referred you.
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38
By signing, you agree to our Terms Of Service found on www.geniusroadside.com and www.roadsidegeniusmarketing.com. We encourage you to read and get familiar with our policies before signing and making a payment for services.
Read our terms of service here: https://www.geniusroadside.com/terms-conditions
Clear
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39
Select Services & Submit Payment
Select the service you are booking and make a payment. Google Ads Bundle is preselected. All Payments are subject to our terms & conditions.
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$20
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Great Product Name
$20
Quantity:
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Size:
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Great Product Name
$20
Quantity:
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Size:
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Great Product Name
$20
Quantity:
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ORDER SUMMARY
Total cost
USD
Google Ads Bundle
Get an awesome website, logo, professional Google Ads account, Google business profile management, Consulting, SEO and drive more calls to your business. Make payment here and we will have your things ready in under 48 hours.
$
650.00
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Roadside Genius Business Course
Take my course and learn everything you need to know to start and grow your own roadside assistance business or towing service. I go over a variety of topics, from setting up your business for free, to setting up business systems, to hiring contractors and dispatchers to take over your call volume. The course is full of information regarding various topics in the roadside assistance industry, it can help anyone who is just starting or someone who is looking to grow. I highly recommend you take the course if you can afford it.
$
200.00
+
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First Name
Last Name
Credit Card Number
Security Code
Card Expiration
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