Consulting Application Please complete this questionnaire so we have greater insights on how we can benefit your business. Thank you! Step 1 of 9 11% Name* First Last Email* Mobile Number*Business Name* Business Address* Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country Business Phone* Do you have a written business plan?* Yes No I'm actively creating one. What is your #1 mission critical business objective over the next 90 days? Over the next 1 year?*Please tell us your primary business objective for next quarter and 1 year from now.Do you have a website? Yes No It's currently being built. Website* Please list your website URL, including the http://Do you have more than 1 website?* Yes No List All Websites that you own below:*Do NOT include Social media properties like Facebook or Twitter. Only websites that you own. How many visitors visited your website(s) in the last 30 days?*Enter the number or your best guess. If you don't know, then indicate that.Do you have Google Analytics Installed on your Website?* Yes No No, because I'm using a different Analytics system. I'm don't know what that is... Please tell us which Analytics system you are using other than GA.* Clicky Piwik MixPanel Gauges Reinvigorate FoxMetrics KissMetrics Woopra Adobe Analytics Open Web Analytics W3 Counter Stat Counter Reinvigorate Mint Chartbeat GoSquared HubSpot Infusionsoft Please select all that apply.Is your website(s) generating as many leads or customers as you want every month?* Yes No If the answer is yes, how many leads is your website generating each month?* 0-10 leads 10-50 leads 50-100 leads 100-250 leads 250-500 leads Over 500 leads I don't know Please enter the number of leads that your site(s) generate each month. These can be email contacts, phone calls, or appts set on your website.How many leads did your business generate last month from all your marketing?*Please indicate the total number of leads or new prospects that your business acquired from any and all marketing efforts, regardless of their source.Are you happy with this number of total leads generated?If yes, great. If no, then please indicate the number of leads you believe your business should realistically be generating each month from all your marketing channels. Have you ever worked with a Professional Marketing company before?* Yes No Professional is defined as being engaged in a specified activity as one's main paid occupation rather than as a pastime, so friends, family, etc who don't do full-time marketing as a paid occupation wouldn't apply,What types of marketing services did they provide?* Print? (coupons, magazines, trade publications, newspapers, etc) Television? Direct Mail? (postcards, letters, etc) Radio? Search Engine Optimization? (SEO) Pay Per Click (PPC- AdWords) Daily Deal Sites? (Groupon, Living Social, etc) Email Marketing (Newsletters, Tips, etc) Social Media Marketing? Social Advertising? (Facebook Ads, Twitter Ads, LinkedIn, etc) Reputation Marketing? Trade Shows? (or other live events) Public Relations? Video Marketing? Mobile Marketing? (Text Messaging, etc) Content Marketing? (Blogging, Infographics, etc) Other? (call centers, outbound salespeople, etc) Please check ALL that apply.What was their monthly fees?* $500 or less $500 - $1000 $1000 - $2000 $2000 - $3500 $3500 - $5000 $5000 - $7500 $7500 - $10000 $10000 or more If "Other", choose that and please explain.If yes, were you satisfied or happy with your results?* Yes No Somewhat Please explain why you answered the last question the way you did:* What is your Customer Cost Per Acquisition (CPA)?*How much do you need to invest to acquire a new customer for your business? If you aren't sure, make your best guess.Do You Know What Your Average Instant Customer Value (ICV) is?* Yes No What is the Average Instant Customer Value (ICV) for your business?*How much gross revenue does your business generate when you acquire a new customer? Please calculate your average across all your products or services.Do You Know What Your Average Lifetime Customer Value (LCV) is?* Yes No What is the Average Lifetime Customer Value (LCV) for your business?*How much gross revenue does your business generate over the lifespan of your average customer? Please calculate your average across all your products or services. Do you have a budget for your business?* Yes No Does your budget have a pre-determined percentage of revenue that is allocated to marketing & advertising?* Yes No What percentage of your annual budget is allocated for marketing and advertising?* Less than 5% 5-10% 10-20% 20-30% Over 30% What was your gross revenue for all of last year? Under $100,000 $100K - $250K $250K - $500K $500K - $750K $750K - $1M $1M - $2.5M $2.5M - $5M $5M - $10M $10 Million+ What are your projected total sales for this year? Under $100,000 $100K - $250K $250K - $500K $500K - $750K $750K - $1M $1M - $2.5M $2.5M - $5M $5M - $10M $10 Million+ What is your YTD (year-to-date) total sales for this year?Please enter your gross revenue for this year up until today. How much are you investing each month in your advertising and marketing efforts?Please enter your average monthly marketing spend.Marketing Channels* Print? (coupons, magazines, trade publications, newspapers, etc) Television? Direct Mail? (postcards, letters, etc) Radio? Search Engine Optimization? (SEO) Pay Per Click (PPC- AdWords) Daily Deal Sites? (Groupon, Living Social, etc) Email Marketing (Newsletters, Tips, etc) Social Media Marketing? Social Advertising? (Facebook Ads, Twitter Ads, LinkedIn, etc) Reputation Marketing? Trade Shows? (or other live events) Public Relations? Video Marketing? Mobile Marketing? (Text Messaging, etc) Content Marketing? (Blogging, Infographics, etc) Other? (call centers, outbound salespeople, etc) Please select All Marketing Channels that you are currently using in your business. Please choose all that apply.How much advertising revenue are you allocating towards the following?ChannelBudget For each Marketing Channel Selected above, please enter the marketing channel type and the monthly amount invested towards that campaign. Use the PLUS button to add extra rows for all marketing channels being used. If we accept you as a client or consult your business, what would need to happen over the next year for you to feel like working with us was a smart decision?*CAPTCHA Δ
