Client Intake Form - VA
Luminix Creatives
Contact Information
Name
*
First Name
Last Name
Email
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Company Name (Optional)
Service Requirements
What type of assistance do you need?
*
Administrative Support
Email Management
Calendar Scheduling
Social Media Management
Data Entry
Customer Support
Other
Please describe your project or tasks in detail:
*
How many hours per week do you estimate you'll need assistance?
*
Please Select
Less than 5 hours
5-10 hours
10-20 hours
20-30 hours
30+ hours
What is your preferred method of communication?
*
Email
Phone
Video Call
Instant Messaging (Slack, Teams, etc.)
Do you have any specific tools or platforms you require us to use? (Optional)
Timeline and Budget
When do you need our services to start?
*
-
Month
-
Day
Year
Date
How long do you anticipate needing our services?
*
Please Select
Less than a month
1-3 months
3-6 months
Ongoing
Do you have a budget in mind?
*
Additional Information
Is there anything else we should know?
*
Submit
Should be Empty: