Business Intake Questionnaire
For Businesses Only
Business Information
Business Name
Contact Person
First Name
Last Name
Contact Email
example@example.com
Contact Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Business Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Business Website
Social Media Handles
Business Overview
Brief Description of the Business
Business Industry
Retail
Food & Beverage
Health & Wellness
Professional Services
Other
Target Audience
Age, Demographics, Intrests, etc.
Primary Goal for Advertising
Brand Awareness
Product Promotion
Event Promotion
Increased Foot Traffic
Other
Preferred Ad Location
Balcony
Window
Yard
Fence
Preferred Geographic Area
Specific Neighborhoods or Areas
Visibility Preference
High Traffic Areas
Residential Areas
Commercial Zones
Other
Preferred Ad Size
Small
Medium
Large
Other
Ad Content & Design
Do you have existing ad materials?
Yes
No
Do you need assistance with Ad Design?
Yes
No
Preferred Ad Duration
1 Month
3 Month
6 Month
1 Year
Budget & Pricing
Estimated Monthly Budget for Advertising
Under $100
$100 - $500
$500 - $1000
Over $1000
Are you interested in any ad on services? (Check all that apply)
Digital Marketing
Social Media Promotion
Content Creation
Marketing Consulting
Analytics & Reporting
Custom Signage and Printing
Additional Information
Specific requirements or preferences? Any Additional comments or information ?
Existing Ad Materials
Browse Files
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Choose a file
Upload Existing Ad Material (If applicable)
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