Business Consulting

Name*
First Last
Email*
Mobile Number*
Business Name*
Business Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code 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.

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%

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?
Channel Budget

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?*

Channel	Budget