Client Questionnaire

1
What type of business are you in?* This field is required.
SaaS
Tech
Professional Services
Other
2
Which best describes your current situation?* This field is required.
Our digital campaigns are no longer performing where they used to
We are sales-led and this is our first time launching a digital campaign
Our digital campaigns are working well but we'd like a new approach
3
What is your current monthly digital marketing spend?* This field is required.
$0 - $10,000
$10,000 - $25,000
$25,000 - $50,000
$50,000+
4
How many employees do you have?* This field is required.
0 - 10
11 - 50
51 - 250
251 - 500
500+
5
What is your approximate monthly revenue?* This field is required.
$0 - $100,000
$100,000 - $250,000
$250,000 - $500,000
$500,000+
6
Who currently manages your digital marketing?* This field is required.Select all that apply
Business owner/founder
In-house marketer/team
An agency
Multiple agencies
7
Do you have a target market, and have you sold to this market effectively?* This field is required.
Huge
Large
Normal
Small
Ok
Ok
8
Are users reporting they’re finding value in your service, and is this value measurable?* This field is required.
Huge
Large
Normal
Small
Ok
Ok
9
What is your biggest marketing challenge right now?* This field is required.
Huge
Large
Normal
Small
Ok
Ok
10
How willing and able are you to invest into solving this problem?
I am willing and able to dedicate time and financial resources to solving this problem
I am willing but unable to dedicate time and financial resources to solving this problem
I'm not the decision-maker OR I'm just curious or doing research
I am not interested at all
11
How soon are you willing to implement a solution to this problem, if of course, a legitimate solution is presented to you?
Yesterday
Today
1 month
Next 3 months
Next 12 months
Never
12
How did you hear about us?* This field is required.
Huge
Large
Normal
Small
Ok
Ok
13
Where are you based?* This field is required.
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Please Select
Please Select
United States
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
Curacao
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
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
14
What is your website?* This field is required.
15
What is your job title?* This field is required.
16
What is your name?* This field is required.
First Name
Last Name
17
What is the best email to contact you at?* This field is required.
example@example.com
18
What is the best phone number to reach you on?* This field is required.
19
Form Page URL
20
Referrer
Should be Empty: