Brand Voice Questionnaire

1

Clinic Owners Name

First Name

Last Name

2

Best number to reach you at...

Please enter a valid phone number.

3

What services are you interested in?

Branding

Social media management (content creation and scheduling)

Design (signage, mailouts, pamphlets, etc)

Facebook/Instagram ads

Other

4

EmailI may need to reach out to you for additional information!

example@example.com

5

Where is your practice based out of?We implement a non-compete strategy, we won't work with practices who are in direct competition with each other.

6

What type of practice do you own?Mobile, brick and mortar, van, etc.

7

Please list your social pages (using their @ if possible)

8

What inspired you to consider working with us?

9

Have you taken advantage of the CDAP grant yet? The Canadian Digital Adoption Program is a $2400 non-repayable grant (you don't have to pay it back) for businesses who want to grow their businesses online. The grant is completed in a few provinces, but you may qualify depending on where you live. Please click "yes" if you've already used it!

YESNO

10

CDAP screening:Check all that apply to you. We can help you determine if you qualify!

I own a registered or incorporated business

I have at least 1 employee on payroll who isn't the owner or a contractor

I had at least $30,000 in sales in the most recent tax year

I offer online booking