Your Company Name *
Your Name *
Your Email *
Your Street Address *
Your City *
Your Postal Code *
Your website
Your Telephone *
How Long have you been in Business *

Timeline: Today – What does your business look like?

Describe your ideal client for your business? *
What are the product(s) / service(s) you offer? *
What problem does these product(s) /service(s) solve? *
How would your client know they need your product(s) / service(s)? *
What makes this product(s) / service(s) different than your competitors that you know of? *
What information are you looking for or an issue / problem you are requiring assistance with? *

Are you seeking help with any of these items for your business?
What is your time line in reaching your goal?
Is there flexible with your timeline?
The work you desire / require, is it built into your Strategic plan and goals therefore there is a budget for funds, resources and time to complete the work you want done?
Comments on your budget *
Describe how you see success for your business? *
Is there any other information you feel I should be aware of? *