subject_line
Client Assessment
PERSONAL INFORMATION
First Name
*
Last Name
*
Home Address
*
Address Line 2
City
*
State
*
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Washington DC
Zip Code
*
Phone Number
*
Email Address
*
POTENTIAL COMPANY INFORMATION
Company Name
*
Principal Business Address
*
City
*
State/Province/Region
*
Zip/Postal Code
*
Phone Number
*
What classification applies to your entity ?
*
Corporation
Limited Liability Corp
S-Corp
Sole Proprietorship
Unknown
Do You Have An Employer Identification Number?
*
🛈
NO
YES
YES
What is your budget for Business Development?
*
What types of services do you require?
*
Grant Writing
Website Design
Graphic Design (Logo)
Brochures
Flyers
Business Proposal(s)
Policy/Procedure Creation
Research
Review
Business Cards
Business Registration
Data Entry
Other
Other
What type of business do you operate?
*
For - Profit
Non - Profit
Do you have any Content Photos , Marketing Materials, or Story Boards? If you answered yes, please upload all content related documents.
*
Yes
No
Upload up to (10) files.
Please choose the age range of your Target Market.
*
1 - 6
7 - 12
13 - 17
18 - 24
25 - 36
37 and above
Please choose the demographic that most closely relates to your Target Market.
*
Children
Parents
Singles
Couples
Seniors
Veterans
Disabled
What type of style are you looking to brand?
*
Municipal
Linear
Classic
Decorative
Elegant
Tech
Urban
Community-Based
Bohemian Nature
Retro
Holistic
Metaphysical
What are your top five color choices for your brand?
*
Please describe the type of business you operate and its vision or goal. (i.e healthcare, social services, consulting etc.)
*
If you have a mission statement or slogan, what is it?
What affiliations does your business have? (i.e. Small Business Cert, Disadvantage Business Enterprise, etc.)
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