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Intake Form
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Intake Form
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Business Information
Name
*
First
Last
Company Name
Email
*
Phone
Website / URL
Social Media Handles
Facebook
X(twitter)
Instagram
LinkedIn
Please provide your Facebook profile URL
*
Do you What
Please provide your X(twitter) profile URL
*
Please provide your Instagram profile URL
*
Please provide your LinkedIn profile URL
*
What industry are you in?
Healthcare
Finance
Retail & E-Commerce
Real Estate
Hospitality & Events
Professional Services
Other (Please specify)
Please specify
*
Business & Brand Goals
What are your top 3 business goals for the next 6-12 months? (Select 3)
Increase brand awareness
Generate more leads & conversions
Improve customer retention
Launch a new product/service
Expand into new markets
Build a strong social media presence
Other:
Please specify
*
What specific challenges are you currently facing in your business? (Select all that apply)
Lack of brand recognition
Not enough leads or traffic
Struggling with social media growth
Poor website performance/conversions
Inconsistent branding/messaging
Need help with content creation
Other:
Please specify
*
What services are you interested in? (Check all that apply)
Brand Strategy & Positioning
Logo & Visual Identity
Website Design & Development
Social Media Management
SEO & Paid Ads
Content Creation (Blogs, Graphics, Video)
Public Relations & Authority Building
Other:
Please specify
*
Branding & Messaging
Do you have an existing brand style guide?
Yes, I have a full brand guideline.
Somewhat—I have a logo and colors but not a full guide.
No, I need help defining my brand identity.
What makes your business unique? (Why should people choose you over competitors? Be as specific as possible.)
Your Unique Selling Point (USP):
Marketing & Digital Presence
What marketing strategies have you tried before? (Check all that apply)
Social Media Marketing
Email Marketing
Paid Ads (Google, Facebook, Instagram, LinkedIn)
Influencer Collaborations
Content Marketing (Blogs, Videos, Infographics)
SEO & Organic Traffic
Other:
Please specify
*
How do you currently generate leads or sales? (Check all that apply)
Website
Social Media
Word-of-Mouth & Referrals
Paid Advertising
Email Marketing
Other:
Please specify
*
What marketing KPIs are most important to you?
Website Traffic
Social Media Engagement
Lead Generation
Sales & Revenue Growth
Brand Awareness
Finally
What does success look like for you in this partnership?
Do you have any deadlines or time-sensitive goals we should know about?
How involved do you want to be in the creative and marketing process?
Very hands-on—I want to review and approve everything.
Balanced—I trust the team but would like updates & input.
Hands-off—I want Retna Media to handle everything.
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