After-Hours Executive Support Consultation Intake Form

1

Name* This field is required.

First Name

Last Name

2

Company Name* This field is required.

3

Email Address* This field is required.

example@example.com

4

Best Number to reach you* This field is required.

Area Code

Phone Number

5

What time zone are you in?* This field is required.

6

Preferred Method of Contact for this consultation:* This field is required.

Email

Mobile Phone

7

Website or Social (if applicable)* This field is required.

Please provide company website

8

What type of business do you operate, and what industry are you in?* This field is required.

9

What stage would you say your business is in right now

Startup

Growing

Established

Scaling

10

What type of support are you looking for and what task is taking up most of your time?* This field is required.(Please describe the tasks or areas where you need assistance.)

11

Are you specifically looking for after-hours/overnight support?* This field is required.

Yes

No

12

What time of day do you typically need support?* This field is required.

Evenings

Late night/Overnight

Flexible

13

What administrative challenges are you facing right now? * This field is required.

14

When do you need support to begin?* This field is required.

Immediately

Within 1-2 weeks

Within 30 days

Just exploring

15

What level of support are you interested in?* This field is required.

16

Please list down a few things you are looking to hand over:* This field is required.

17

Have you worked with a virtual assistant before? If so, what was the experience like? What, if anything, would you like to be handled differently this time? (If ‘no’ to the previous question) Do you have any concerns about working with a virtual assistant?* This field is required.

18

How long do you think will be the duration of this project/job?* This field is required.

19

What are your goals for your business over the next year? Five years? Long-term? * This field is required.

20

How do your business goals mesh with your personal goals? * This field is required.

21

What should I know in order to better assist you in achieving these goals?* This field is required.

22

Any other details I need to know to help your business be successful?* This field is required.