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16
Questions
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1
Full Name
First Name
Last Name
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2
Your Company Name
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3
Your Title
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4
Your Email
example@example.com
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5
Your Work Phone
Please enter a valid phone number.
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6
Your Cell Phone
Please enter a valid phone number.
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7
Company Website URL
www.example.com
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8
Have you done business with Revision Marketing Group before?
Yes
No
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9
How many team members do you have?
Solopreneur - Part-Time
Solopreneur - Full-Time
2-5 Team Members
6-10 Team Members
11-25 Team Members
26-100 Team Members
100+ Team Members
Solopreneur - Part-Time
Solopreneur - Full-Time
2-5 Team Members
6-10 Team Members
11-25 Team Members
26-100 Team Members
100+ Team Members
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10
Anyone else from your team that we should have contact information for?
No, I'll be the main contact for the company.
Yes, I have team members or freelancers that you should have contact information for.
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11
What's the best way to contact you?
Phone
Email
Text
Phone
Email
Text
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12
Who else should we have contact information for?
Full Name
Email
Phone
Role or Title
Contact 1
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Contact 2
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Contact 3
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Contact 4
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Contact 1
Contact 2
Contact 3
Contact 4
Full Name
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Email
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Phone
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Role or Title
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Full Name
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Email
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Phone
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Role or Title
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Full Name
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Email
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Phone
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Role or Title
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Full Name
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Email
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Phone
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Role or Title
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13
What service are you filling this out for today?
*
This field is required.
Website & Social Branding
Media Subscription
Brand Video
Video Podcasting
Social Media Management
Other
NA
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14
How does your company measure success?
Disagree
Agree
Revenue
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Monthly recurring revenue
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Leads generated
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People reached
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Clients served
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Revenue
Monthly recurring revenue
Leads generated
Customer satisfaction
People reached
Clients served
Other
Disagree
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Agree
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Agree
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15
What's your number 1 business goal for the next 12 months?
Increase brand awareness
Grow revenue
Launch my business
Go full-time in the business
Brand consistency
Other
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16
Anything else we need to know about success or goals for your company?
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