First Name
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Last Name
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Email
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Phone
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Organization Name
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Website URL
Why are you filling this out?
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What are your marketing goals and how do you measure success?
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How much is a customer worth to you?
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What is your desired timeline?
How much do you spend on marketing / advertising per month?
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How much is your business generating per month in revenue?
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I haven’t started.
I haven’t started.
No thank you, we can discuss on the call.
$0-$10,000
$10,000-$50,000
$50,000-$500,000
$500,000-$5mil
$5mil+
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Do you have Google Analytics?
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Geographics
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Demographics
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Psychographics
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Topics of Interest
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Keywords
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Influencers and competitors in your industry...
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What is your industry and/or service category?
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Do you have a product, service, or both?
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Product
Service
Product and Service
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Describe your product or service.
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What's your Unique Selling Proposition?
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What are your offers / specials?
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Landing Page URL
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Video URL
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How much did you spend on marketing in the last calendar year?
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How much did you spend on marketing this past quarter?
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How much will you spend on marketing for this calendar year?
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Which of the following online marketing tactics have you utilized for your business?
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SEO
Google AdWords
Facebook Posts
Facebook Ads
YouTube Ads
LinkedIn Ads
Yelp or Review Management
Twitter, Instagram, Pinterest, etc.
Podcasts, Webinars, etc.
LinkedIn Automation
Cold Calls
Cold Email Campaigns
None of the above.
Why do you care about your prospects?
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Feel free to add any additional information
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