Form

A few minutes can help to increase your revenue 5% to 50+% in the next 12 months.

Are you currently missing out on growth opportunities? Find out by completing our short Organizational Self Assessment. When you’re done, we will review your present situation and follow up with a FREE and comprehensive Marketing Needs Analysis .

How would you best describe your present situation?*

I am looking to grow. I would like to be more focussed on the clients we serve. The competition is fierce and I need action, now! We need to gain market share. I am too busy to plan... I have goals but can't seem to complete them. Ya, know, I'm doing pretty well, but am always looking for ways to do better.

Marketing is an optional activity*

Agree Somewhere in the middle Disagree

In the past 12 months, my business has*

Grown Stayed the same Declined Hard to say - Don't Know

Do you have a Strategic Marketing Plan?*

Huh? Absolutely! Nope!

How would you rate the effectiveness of your current Strategic Marketing plan?*

We are executing and reaping the rewards! Tons of great ideas, no follow through. The G3 Jet is on the tarmac, we just don't have any fuel. Um, we do not have a formal plan in place.

Do your present clients often refer you to friends & family?*

50% of my business is from referals I get some word of mouth business We just don't ask for referals

How do most of your clients find you?*

Internet search Yellow Pages Referred by a friend We don't track that...

Are there many competitors near you?*

Too many to count There is enough pie for everyone, I just want more! No, not really

What is your business structure?*

Sole Proprietor Partnership Corporation

Describe your revenue growth over the past 24 months.*

Up significantly year over year, 25%+ Somewhat up year over year, 0 - 25% Maintaining Down a bit, 0-25% We are significantly down, great than 25%

How would you rate your staff?*

Superstars! My best asset OK, in need of some help Inconsistent In desparate need of help!

What is your estimate of your current marketing budget? (Ads, gifts, website, incentives, etc.)*

$0 - $5,000 $5,000 - $15,000 $15,000 - $30,000 $30,000 - $50,000 $50,000 - above

What is your desired timeline for implementing some new or different marketing ideas?*

Yesterday! Next 30 days

Full Name*

First Name Last Name

E-mail*

Phone Number

- Area Code Phone Number

Company Name

Address

Street Address
Street Address Line 2
City	State / Province
Postal / Zip Code	Country