Client Intake Form

1
Name* This field is required.
First Name
Last Name
2
Email* This field is required.
example@example.com
3
Instagram Handle* This field is required.
4
Website / Blog URL* This field is required.(if applicable)
5
Where did you find us?* This field is required.
Instagram
Facebook
Google
Referral
Pinterest
TikTok
LinkedIn
Other
6
Which type of VA support are you looking for?* This field is required.Rates start at $12 per hour, depending on the scope or type of support needed.
General Virtual Assistant
Affiliate & Influencer Support VA
Marketing & Strategy VA
Tech & Systems VA
Other
7
Can you describe your current workload?* This field is required.
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Ok
Ok
8
What’s your niche or content style?* This field is required.
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Ok
Ok
9
What goals are you hoping VA support will help you reach?* This field is required.
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Ok
10
What's your LTK Handle?* This field is required.
11
Do you currently use other platforms for affiliate marketing?* This field is required.
Amazon Storefront
ShopMy
Wayfair Storefront
No
12
What type of content do you create most?* This field is required.
Fashion
Home
Beauty
Lifestyle
Travel
Other
13
What is your biggest struggle with LTK/Amazon/Wayfair/ShopMy right now?* This field is required.
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Ok
Ok
14
What’s your main goal for the next 3-6 months with LTK/Amazon/Wayfair/ShopMy?* This field is required.
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Ok
Ok
15
What is your biggest struggle with your business right now?* This field is required.
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Ok
16
When would you ideally like to start?* This field is required.
17
How many hours per week do you anticipate needing?* This field is required.
15 hours/week
20 hours/week
25 hours/week
30 hours/week
35 hours/week
40 hours/week
Other
18
Anything else I should know or questions you have?* This field is required.
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Ok
Ok
19
Have you already booked a free discovery call with us?* This field is required.
YESNO
20
How would you like us to contact you?* This field is required.
Email
WhatsApp
21
How would you like us to contact you?* This field is required.
Email
WhatsApp
I’d like to have a quick call with you
22
What's your WhatsApp Number?* This field is required.
23
Choose your preferred date and time.
Should be Empty: