Name *

First Name

Last Name

Phone *

(###)

###

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Do you currently have any of the following? (Check all that apply) *

Personal Website

Branded Social Media Pages

Email Marketing System

CRM (e.g., KVCore, Follow Up Boss)

Media Partner / Videographer

None of the above

Which platforms are you most active on? (Check all that apply) *

Instagram

Facebook

YouTube

TikTok

LinkedIn

Not active on social media

Other

Have you worked with a media or marketing agency before? *

Yes

No