EmailMeForm
Social Media Discovery Form
Entry fields marked with the red asterisk are required.
Name
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Cell Phone Number.
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Alternative Phone Number
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Email Address
*
Business Name (optional)
Were you referred by someone or by a company?
If so, please enter their name or company below. If not, type N/A below
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What industry is your business in?
Ex. Medical & Health, Law Services, Hospitality, Food & Beverage, Beauty, Health & Fitness, Real Estate, Business, Music / Entertainment, etc.
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Does your business have a website? If so, please list the website (not social media) address below.
If not, please type N/A
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Select all marketing services your business needs
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Content videos for social media platforms
Digital (not video) media content for social media platforms
Social media posting only (videos, images)
Content & text creation (videos, images, text) for social media platforms
Social media branding / rebranding
Social media growth strategy
SMS (Mobile Phone Marketing)
Email marketing
SEO (Search Engine Optimization)
Search engine marketing (Paid Ads)
List the social media platforms you will need the services for
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Will you you need a social media manager?
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Yes
No
Not sure
What is your monthly budget range for the marketing services you selected above?
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$500/mo - $750/mo
$750/mo - $1,000/mo
$1,000/mo - $1,499/mo
$1,500/mo - $2,499/mo
$2,500/mo - $4,999/mo
$5,000/mo - $10,000/mo
What is the best day and time frame to reach you for a 20min consultation call?
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Monday Mornings: 9am - 12noon
Monday Afternoons: 1pm - 3pm
Tuesday Mornings: 9am - 12noon
Tuesday Afternoons: 1pm - 3pm
Wednesday Mornings: 9am - 12noon
Wednesday Afternoons: 1pm - 3pm
Thursday Mornings: 9am - 12noon
Thursday Afternoons: 1pm - 3pm
Friday Mornings: 9am - 12noon
Friday Afternoons: 1pm - 3pm
How soon are you able to make a payment to get officially started?
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ASAP
This Week
Next Week
Within the next 14 days
Would you like to make a payment on the day of your discovery call to officially get started?
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Yes
No
Any additional info you would like to add? Please be very specific with any additional details you enter below.
Get paid a $250 referral fee for every referral you send us, that signs up.
Referral #1 (Enter their name, and contact number below)
If there on IG list their IG name also.
Or enter their website address also.
Get paid a $250 referral fee for every referral you send us, that signs up.
Referral #2 (Enter their name, and contact number below)
If there on IG list their IG name also.
Or enter their website address also.
Get paid a $250 referral fee for every referral you send us, that signs up.
Referral #3 (Enter their name, and contact number below)
If there on IG list their IG name also.
Or enter their website address also.
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