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Business Name:

Contact Number:

Contact Person:

Email:

City:

State:

Decision Maker:

Do you have a Website,blog or both?

Web Address:

Blog Address:

Another Site:

Did you do the design work or someone else?
Me

Someone else

Who?

Does your website or blog capture leads for you?
Yes

No

Do you drive traffic or advertise your sites?
Yes

No

Do you capture emails of your customers or your website visitors?
Yes

No

Have you tried Google Ad Words, Pay Per Click or other types of Traffic methods?
Google Ad Words

Pay Per Click
Search Engine Optimization – SEO

Banner Ads
All of the Above

None of the Above

What is your monthly budget, if any to advertise your business online?

Do you use other types of advertising such as Yellow Pages or Direct Mail?
Yes

No

Will you spend more on Web Advertising this year or Offline methods?
Web Advertising

Offline Methods

Would you like your Website to build and maintain better Brand Recognition?
Yes

No

If we could show you how to turn your web presence into a hard working, business generating asset, would you be open to a no obligation 30 minute consultation from one of our Internet Specialist?
Yes

No

Notes

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