Form
Lead Capture System Setup – Inquiry Form
Please complete this short form so I can better understand your business or ministry and how I may best serve you.
Name
First Name
Last Name
Email
example@example.com
Text Number
Please enter a valid phone number.
Format: (000) 000-0000.
Your Website URL
What best describes where you are right now?
Just getting started, um may need a website
I have a website but no opt in
I have systems but they need improvement
Have no clue, tech is overwhelming for me
Do you currently have a digital email list?
No, I do not have one yet
Yes, but I rarely use it
Yes, I send emails occasionally
Yes, I have an active email list
What email marketing Software do you currently use?
Get Response
AWeber
Mail Chimp
What is email software?
Don't have one
Other Software
Do you currently offer a free resource to your audience?
Please Select
YES
NO
What type of free offer are you most interested in creating?
Checklist
Guide
Workbook
Resource List
Not Sure Yet
What is the biggest challenge you are experiencing with technology right now?
If we move forward, when would you like to start
Please Select
As soon as possible
Within the next month
Just exploring options
Is there anything else you would like me to know about your business or ministry?
Submit
Should be Empty: