What would you like for me to help you with?
Customer Intake Form ONLY COMPLETE WHAT PERTAINS TO YOUR SERVICE REQUEST NEEDS THANK YOU
Full Name
*
First Name
Last Name
E-mail
*
example@example.com
Contact Number
*
-
Area Code
Phone Number
What may I help you with?
*
Creating Your Business cards, flyers, menus, etc...
Creating Your Social Media Content (Ads for Instagram, Facebook & LinkedIn)
Creating Your One Page Website
Creating Your Presentations & eCourse
Administer Event/Brand Promotion
PAGE TAKEOVER
Event Donation Request
Speaking Request
Other
FOR PAGE TAKEOVERS; Please choose your plan.
1 Day
1 Week
1 Month
FOR EVENT DONATION REQUEST:
Please include ALL DETAILS about your event. Be sure to include appropriate number attending, event theme, date, place, time and deadline.
FOR SPEAKER REQUEST:
Please note ALL SPEAKER REQUESTS STARTS AT $60 be sure to nclude ALL DETAILS about your event. Be sure to include appropriate number attending, event theme, date, place, time and deadline.
When is the best time to contact you?
1
2
3
4
5
6
7
8
9
10
11
12
:
Hour
00
10
20
30
40
50
Minutes
AM
PM
AM/PM Option
When do you need it? My turn around time is between 3-5 Business Days *more time may be needed depending the proposed project*
How Soon Do You Need It? Time is allocated to price
For Flyer's Ad's Menu ect..
Please Complete the Following ONLY if you are Inquiring about FLYERS, ADS OR CREATED CONTENT
Your Vision: Describe what you're looking for, colors, style: bold, simple, abstract, theme, printed or not ect.
Please be specific in what you are looking for so I may match your vision
What's the 411? Date, Time, Contact, Items, price ect...
If You Need Social Media Content Please Indicate Your IG or Facebook Page & LinkedIn So I Can Grasp an Idea of Your Brand
Please Enter Your Social Media Handles
For Your Website Creation
Please Complete the Following ONLY if you are inquiring about WEBSITE CREATION
Do you currently have a website?
Yes
No
If 'Yes', what is your URL?
Do you have a domain name? (www.yourdomainhere.com)
Yes
No
If 'No', what Domain name would you like? The Name to Put in Search Engine When Looking You Up.
Do you need hosting?
Yes
No
Yeah, Umm What's That?
Will You Need E-Commerce?
Yes
No
E What?
TruEssence Uses the Following Website Platforms to Create Your Website. Please Indicate which Platform You'd Like to Use.
Go Daddy
Weebly
SquareSpace
Umm, What Are You Talking About Here?
Will You Need Site Upkeep or Social Media Monitoring
Social Media Monitoring
Website Up Keep
Teach Me One Time I Got It
I'm Going To Need the Full Package
Please Upload Your Photos & Logos
Upload Any photos you'd like included DON'T FORGET YOUR LOGO
Any other information you'd like to add?
Do You Have A Discount Code?
Enter Your Discount Code
Each Project requires 1/2 of the TOTAL price as a deposit to initiate work. Payment Plans are Also Offered. How will you be paying?***Price is discussed before project is executed*** PAGE TAKEOVER PLEASE INDICATE WHICH PLAN YOU ARE INTERESTED IN.
*
Invoice
CashApp
Other
Are you human?
*
Submit
Should be Empty: