Business Intake Form

1

Full Name

First Name

Last Name

2

Mobile NumberPlease Confirm a mobile number that can receive texts

3

Your Email AddressThe Email You Actually Read

example@example.com

4

Business NameThat name that the public recognizes you by

5

What type of business are you?

Not for pofit

Start Up

Small Business

Larger Corporation

6

How many employees do you have?

0-3

4-8

More than 8

7

Please tell us as much as possible about your business and what impact you think learning more about generative AI application could have on your business/goals.

8

Do you have specific areas of interest (e.g., AI integration, web design, business plan development)? Is there a project or problem you would like to address using AI tools?

9

Who supports your website/social media/online presence?

I don't have one

Hired Designer/Developer

Hired Maintenance

I provided the content

The content was created for me

Other

10

If you already have a website/social media, please provide a link below:

11

What areas of AI integration are you most interested in? Select all that apply:

Website Design

Business Planning and Strategy

Logos and Branding

Finances

Social Media and Marketing

Chat Bot Development

Other

12

How did you hear about us?

Social Media

Internet Advertising

Word of Mouth

Other