ANM Client Intake Form
JOIN THE MOVEMENT
Company Name
Client Name
First Name
Last Name
Email
example@example.com
Phone Number
Please enter a valid phone number.
Job Title
Job Description
Company Website URL address
Describe your company
What is the nature of your business?
Describe the products and services your company is offering?
What was your target customer age group?
13-18 years of age
18-23 years of age
23-30 years of age
30-45 years of age
45-60 years of age
60 years of age and above
What was your company website platform?
Wordpress
Wix
Squarespace
Custom
Weebly
Druepal
Joomla
Webflow
Others
What are your company advertising platforms?
What is your company website host?
Can you name some of your company competitors?
What are your company goals?
How much is the company Monthly Advertisement/Digital Marketing budget? ($)
What selling platform are you using?
How far are you right now from achieving the company goal?
Appointment
When can we... DO IT?
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