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21
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1
Name
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First Name
Last Name
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2
Phone Number
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Please enter a valid phone number.
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3
Email
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example@example.com
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4
Where are you based?
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5
How did you hear about Brackett Agency?
*
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Instagram
TikTok
Google Search
Referral
Youtube
Email
Website
Other
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6
If you were given a comprehensive strategy to scale your business and achieve your goals, and it required a minimum investment of $30,000 USD for our services, would you be ready to invest?
*
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Please note that actual cost varies based on the scope of services and coaching you need.
Yes, I have the budget available
No, I don't have the budget available currently
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7
What is your company’s current annual revenue?
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$1M–$5M
$5M–$10M
$10M–$25M
$25M+
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8
What revenue milestone are you targeting in the next 12–18 months?
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10–20% growth
25–50% growth
50–100% growth
More than 100% growth
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9
What's preventing you from scaling your business to the next level? What obstacles are you encountering?
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10
Do you currently have outside investors, venture backing, or private equity partners?
*
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Yes, venture-backed
Yes, private equity-backed
Yes, angel investors/friends & family
No outside investors
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11
How many employees are in your organization?
*
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1–20
21–50
51–200
200+
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12
Have you completed market research in the past?
*
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Yes, comprehensive research
Yes, but only basic/demographic data
No, never done research
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13
What geographic market(s) are you focused on expanding into?
*
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Local/Regional only
National expansion
International expansion
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14
Do you have an allocated budget for research and consulting?
*
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Yes, >$200,000
Yes, $100,000–$200,000
Yes, <$100,000
No, not yet
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15
Who will be making the final decision to engage in this program?
*
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Myself
Co-founder/leadership team
Board/Investors
Other
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16
Why do you feel now is the right time to invest in strategic research?
*
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Preparing for funding round
Planning expansion into new markets
Launching new products/services
Competitive pressure
Other
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17
Why now? What's driving you to seek professional help for your business growth at this moment?
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18
How committed are you to investing in your business growth on a scale of 1-10?
*
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1
2
3
4
5
6
7
8
9
10
Low Committment
High Committment
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19
If accepted, how soon are you ready to begin working with Brackett Agency?
*
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Please Select
Immediately
Within 2 weeks
Within 30 days
Within 60 days
Just exploring options
Please Select
Please Select
Immediately
Within 2 weeks
Within 30 days
Within 60 days
Just exploring options
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20
Our process requires dedicated time and effort from both sides. If your application is accepted, will you commit to showing up for our strategy call and following through with the process?
*
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Yes, I'm fully committed to the process
No, I'm not ready to commit
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21
If your application is accepted, our initial strategy call will be conducted via GoogleMeet. You'll receive a calendar link and GoogleMeet details in your email. Please confirm you'll check your email and be available for the scheduled call.
*
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Yes, I understand and will check my email for call details
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Apply | Strategic Research for Early-Stage Startups
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