Section 1: Contact Details
Full Name
Company Name
Email Address
Phone Number
Website URL
Social Media Platform(s)
Facebook
Instagram
LinkedIn
TikTok
YouTube
X / Twitter
Other
Social Media @Handle(s)
Google Business Profile Verified
Yes
No
Section 2: Business Overview
What best describes your business?
B2B Services
Retail / E-commerce
Financial / Insurance
Education / Training
Hospitality / Tourism
Other
What is your primary goal right now?
Generate more leads
Increase sales / revenue
Improve ROI on ads
Build stronger online presence
Not sure
Section 3: Current Digital Activity
Do you currently run digital advertising?
Yes, actively
Occasionally
No
Which platforms do you currently use?
Google Ads
Facebook / Instagram
LinkedIn
Email Marketing
SEO
None
How would you rate your current digital performance?
Strong
Average / inconsistent
Underperforming
Not sure
Section 4: Qualification
Estimated monthly marketing budget
Under $1,000 USD
$1,000 – $5,000
$5,000 – $15,000
$15,000+
What is your biggest challenge right now?
Section 5: Intent
Would you like a free strategy review call?
Yes
Maybe later
Just want the assessment
Get My Digital Growth Score
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