Inquiry Form

1

Name

First Name

Last Name

2

Email

example@example.com

3

Name of your business or organization

4

Where is your business located?

5

Link to your website

6

Describe your business including primary service/product and target audience.

7

What is your primary marketing objective?Ex. Brand awareness, more engagement on social media, traffic, conversions, etc.?

9

What are your social media handles?If you are looking for social media services, please provide your social media handles below:

Instagram @

Facebook @

LinkedIn @

TikTok @

Pinterest @

10

What's your annual marketing budget?Just a gauge - doesn't need to be exact!

$12,000 - $15,000 / year

$16,000 - $25,000 / year

$26,000 - $35,000 / year

$36,000 - $45,000 / year

Over $50,000 / year

11

How soon are you looking to start partnering with Kōhina Media?

Immediately

Within the next 2-3 months

Within the next month

I'm not sure yet

12

Are you seeking ongoing marketing support or for a specific campaign or project?

Ongoing marketing support

Specific campaign

Specific project

13

If you selected a specific project or campaign, do you have a specified budget?

$500 - $1,999

$2,000 - $5,000

$5,000+

14

Do you currently have a marketing team or work with a marketing agency?

Yes, we have our own marketing team.

Yes, we work with an outside marketing agency.

No, we do everything for our business ourselves.

None of the above.

15

How did you hear about Kōhina Media?

16

Any other notes, questions, concerns you’d like to let us know?