Thalio Media - Intake Questionnaire
Welcome, thank you for your order. This questionnaire collects the information required to draft your feature accurately. Please answer clearly and directly. After submission, we’ll review your responses and begin drafting.
Order ID
*
Order Key
*
Publications Purchased
Name
*
First Name
Last Name
Email used at checkout
*
Email used at checkout
Primary Contact Email
*
We will use this email as the primary source of contact for your publication
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Order number
Optional (found in your confirmation email)
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Identification
Name or brand to be featured
*
(Exact spelling to be used in the article.)
Preferred professional descriptor
*
Examples: Founder, Managing Partner, Real Estate Advisor, Executive, Investor
Primary website / brand URL
(Website URL field)
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Background
Brief professional background
*
Industry / field of work
*
Please Select
Advertising / Marketing / PR
Agency (Creative / Digital / PR / Media Buying)
Agriculture / Food & Beverage
AI / Machine Learning
Automotive
Beauty / Cosmetics
Biotech / Pharmaceuticals
Blockchain / Crypto / Web3
Construction
Consulting / Professional Services
Consumer Goods (CPG)
Cybersecurity
E‑commerce
Education / EdTech
Energy (Oil & Gas)
Renewable Energy / CleanTech
Entertainment / Film / TV
Finance / Banking
FinTech
Fitness / Wellness
Gaming / Esports
Healthcare / Medical
Hospitality / Hotels / Travel
HR / Recruiting
Insurance
Legal / Law
Logistics / Supply Chain
Manufacturing / Industrial
Media / Publishing / Journalism
Nonprofit / Social Impact
Real Estate
Retail
SaaS / Software
Sports
Technology (General)
Telecommunications
Venture Capital / Private Equity / Investments
Luxury Goods / High‑End Services
Fashion / Apparel
Music / Artist / Label
Creator / Influencer / Personal Brand
Government / Public Sector
Other (please specify)
Other (please specify)
*
Other industry (please specify)
Notable accomplishments / credentials
Optional (but recommended)
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Positioning
What differentiates you/your brand?
*
Challenges or obstacles relevant to your journey
Optional
Future focus / direction
Optional
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Article direction
Primary objective of this article
*
Please Select
Credibility
Awareness
Positioning
Exposure
Thought leadership
Other
Other (please specify)
*
Intended audience
*
Key points to emphasize
*
(bullets OK)
Preferred tone
*
Please Select
Professional
Neutral
Conversational
Analytical
Other
Other (please specify)
*
SEO keywords/phrases
Optional
Links to include
Optional
Information to exclude
Optional
Additional notes/instructions
Optional
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Assets
Headshot upload
Browse Files
Drag and drop files here
Choose a file
Optional but recommended
Cancel
of
Logo upload
Browse Files
Drag and drop files here
Choose a file
Optional
Cancel
of
Brand kit / press kit / supporting documents
Browse Files
Drag and drop files here
Choose a file
Optional
Cancel
of
Social links / handles
Optional
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Confirmations
*
I confirm the spelling and details above are correct
*
I confirm I have rights to submit any images/logos provided
Name
*
First Name
Last Name
Signature
*
Date
*
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
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