Bookkeeping Services Intake Form – Gifted Hands Financial
Share your business details, current bookkeeping status, and the services you’re looking for so we can prepare for your consultation.
Business Information
Full Legal Business Name
*
Business Owner/Contact Name
*
First Name
Middle Name
Last Name
Business Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Business Email Address
*
example@example.com
Business Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Please Select
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
The Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo
Cook Islands
Costa Rica
Cote d'Ivoire
Croatia
Cuba
Curaçao
Cyprus
Czech Republic
Democratic Republic of the Congo
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Polynesia
Gabon
The Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
North Korea
South Korea
Kosovo
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Nagorno-Karabakh
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
Turkish Republic of Northern Cyprus
Northern Mariana
Norway
Oman
Pakistan
Palau
Palestine
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn Islands
Poland
Portugal
Puerto Rico
Qatar
Republic of the Congo
Romania
Russia
Rwanda
Saint Barthelemy
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
Somaliland
South Africa
South Ossetia
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard
eSwatini
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Transnistria Pridnestrovie
Trinidad and Tobago
Tristan da Cunha
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
British Virgin Islands
Isle of Man
US Virgin Islands
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Other
Country
Business Website
Type of Business Entity
*
Please Select
Sole Proprietor
LLC
S-Corp
C-Corp
Partnership
Nonprofit
Other
Industry / Type of Business
*
How Long Have You Been in Business?
*
Please Select
Less than 1 year
1–2 years
3–5 years
6–10 years
10+ years
Number of Employees or Contractors
*
Please Select
Just me
2–5
6–10
11–25
25+
Current Financial Situation
Current accounting software used
*
Please Select
QuickBooks Online
QuickBooks Desktop
Wave
FreshBooks
Excel/Spreadsheets
None
Other
Number of bank accounts
*
Please Select
1
2–3
4–5
6+
Number of credit card accounts
*
Please Select
None
1
2–3
4+
Estimated number of monthly transactions
*
Please Select
Under 50
50–100
100–200
200–500
500+
Are your books currently up to date?
*
Please Select
Yes
No – a few months behind
No – more than 6 months behind
Not sure
Is payroll currently processed?
*
Please Select
Yes – I handle it myself
Yes – through a payroll service
No
Not yet but planning to
Services Requested
Interested Service Package
*
Starter Package $250–$350/mo
Growth Package $450–$650/mo
Premium Package $800–$1,200/mo
Not sure – need a recommendation
Books + Taxes Annual Bundle
Optional Add-On Services
Catch-Up/Clean-Up Bookkeeping
Payroll Processing
Sales Tax Filing
1099 Preparation
Cash Flow Forecasting
Financial Package for SBA/Loan
Hourly Consulting
Tax Preparation Services Needed
*
Please Select
Yes – through Idea Tax Pro
No – I have a tax preparer
Not yet but interested
Currently Behind on Taxes or Have Any Tax Issues?
*
Please Select
No
Yes – need help getting caught up
Not sure
Goals & Additional Info
Biggest Financial Challenge Right Now
*
Top Financial Goals for the Next 12 Months
How Did You Hear About Gifted Hands Financial?
*
Please Select
Google Search
Social Media
Referral from Friend/Family
Existing Client
Flyer or Marketing Material
Other
Referral Name
Anything Else We Should Know Before the Consultation?
Best Time to Be Contacted
*
Morning 9am–12pm
Afternoon 12pm–4pm
Evening 4pm–7pm
Preferred Contact Method
*
Please Select
Phone Call
Text Message
Email
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