Let’s work together Client Intake Form Name * First Name Last Name Email * Phone (###) ### #### Preferred Method of Contact Phone Call Texting Email Zoom or FaceTime Business Name Social Media Handles Website (if applicable) http:// Industry What services are you interested in? Virtual Assistant Social Media Website Design Brand Development Content Marketing Search Engine Optimization Landing Pages Online Course Creation Sales Funnels Email Campaigns Preferred Start Date MM DD YYYY How long do you think will be the duration of this project / job? Month to Month 3 Month Retainer 6 Month Retainer 12 Month Retainer What is your budget? How did you hear about us? Can you name some of your competitors? Target Customer Age Group 18-23 years of age 23-30 years of age 30-45 years of age 45-60 years of age 60 or above What are your company goals for the quarter and year? What are your current projects, and what would you like us to do for you? What are your main services? What are your biggest marketing challenges? Message * Anything else you would like me to know? Thank you for taking the time to fill out our Client Intake Form. This will be extremely beneficial as we continue to work together. I will be in touch within the next week to discuss next steps. Kind Regards, Amber WarrenCEO, AC Creative Services