Blue Scorpion Reputation Management
Client Intake Form
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E-mail
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Approximate number of Company employees
Years with Company?
Does your company have Marketing or Communications departments in-house?
Yes
No
Have you worked with an Agency/Firm within the past 3 years?
Yes
No
Which Agency/Firm?
How does your company make money?
Do you know your Customer Acquisition Costs or your Lifetime Value?
Yes
No
If "No," would you like to receive assistance in determining that value?
Do you have multiple social media accounts?
Yes
No
Social Media Accounts
Instagram
Facebook
Twitter
LinkedIn
Snapchat
YouTube
Pinterest
Other
TikTok
Under how many company names are the social media accounts?
One
Two or more
Unsure
Will you be partnering with a third-party entity for marketing, promotions or public relations purposes?
Yes
No
Will you be hosting any festivals, events or public assembly gatherings in the next 12 months?
Yes
No
Are you facing an issue, crisis or in litigation?
Yes
No
Unsure
To your knowledge, have you done anything that would jeopardize you, your clients/customers or your Company?
Yes
No
Unsure
Additional Notes/Comments:
THE END
Retained Client?
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Cash
Credit
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Follow up Notes
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