Digital Marketing Client Intake Form

1

Business Name* This field is required.

2

Name* This field is required.

First Name

Last Name

3

Email* This field is required.

example@example.com

4

Phone Number* This field is required.

Area Code

Phone Number

5

Company Website URL address* This field is required.

6

What is the nature of your business? * This field is required.

7

Describe the products and services your company is offering? * This field is required.

10

What are your company advertising platforms?

11

What is your company website host?

12

Can you name some of your company competitors?

13

What are your company goals?

14

How much is the company Monthly Advertisement/Digital Marketing budget? ($)

15

What selling platform are you using?

16

How far are you right now from achieving the company goal?