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Intake form
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Name
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Email address
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What type of business do you own?
Please select at least one option.
Coaching
Consulting
Service-based
E-commerce
What is your primary goal for your online presence?
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Generate leads
Increase sales
Build brand awareness
Provide information
What platforms do you currently use for your business?
Please select at least one option.
Website
Social media
Email marketing
E-commerce platform
None
What challenges are you facing with your current setup?
Please select at least one option.
No clear offer
Low website traffic
Difficulty capturing leads
Lack of automation
What services are you interested in?
Please select at least one option.
Website design
Lead capture system
CRM setup
Automated follow-up
Appointment booking
What is your preferred budget range for these services?
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Under $1,500
$1,500 - $3,000
$3,000 - $5,000
Over $5,000
What is your timeline for implementing these services?
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Immediately
Within 1 month
Within 3 months
Flexible
How did you hear about us?
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Referral
Social media
Search engine
Online advertisement
Additional questions or comments
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