Eroica Creative Discovery Form

1
What to Expect:

The form will take just a few minutes to complete.

Your responses will help us assess your needs and objectives.

Once submitted, we’ll review your information and reach out to schedule a free consultation.

Let’s get started! Just click “Next” to begin.
2
Contact Information* This field is required.
First Name
Last Name
Please enter your phone
Please enter your email
3
Country* This field is required.
Please Select
Please Select
Canada
United States
Other
Select the country you are located in
4
Which Country?* This field is required.
5
Province* This field is required.
Please Select
Please Select
Alberta
British Columbia
Manitoba
New Brunswick
Newfoundland
Northwest Territories
Nova Scotia
Nunavut
Ontario
Prince Edward Island
Quebec
Saskatchewan
Yukon
Select the Canadian province you are located in
6
State* This field is required.
Please Select
Please Select
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Select the US State you are located in
7
Organization Type* This field is required.
Please Select
Please Select
Small Business
Nonprofit Organization (NGO)
Freelancers/Independent Professionals
Government or Public Sector Organizations
Educational Institutions or Research Entities
8
Organization’s Digital Presence
Your organization’s website URL (if available)
Include links to your social media pages (e.g., Facebook, Instagram, LinkedIn)
9
Are you the primary decision-maker for your business' operations and marketing?* This field is required.
YESNO
10
Have you previously worked with a marketing professional or agency?* This field is required.
YESNO
11
What services did they provide?* This field is required.
Social Media Ads
Google Ads
SEO/Content Marketing
Other
12
What are your primary goals for your business or organization over the next 6-12 months?* This field is required.
Huge
Large
Normal
Small
Ok
Ok
13
How critical is it for you to implement new marketing solutions to your business?* This field is required.
1
2
3
4
5
Not Critical
Very Critical
14
Do you have a monthly budget allocated for marketing?* This field is required.
No
Less than $1,000
$1,000 - $2,500
$2,500 - $5,000
More than $5,000
15
Would you be willing to adjust your budget to achieve your marketing goals?* This field is required.
YESNO
16
Any other relevant information you’d like to share about your business/organization?
Huge
Large
Normal
Small
Ok
Ok
17
utm_campaign
18
utm_source
19
utm_medium
Should be Empty: