PR Discovery Call Intake Form
Please complete this form to help us understand your PR needs before our discovery call.
Full Name
*
First Name
Last Name
Email Address
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Company or Organization Name
*
Your Job Title/Role
*
Briefly describe your company or organization.
*
What are your primary PR goals?
*
Increase brand awareness
Product or service launch
Reputation management
Thought leadership
Media relations
Crisis communications
Other
Have you worked with a PR agency or consultant before?
*
Yes
No
Who is your target audience?
*
What are the main PR challenges you are currently facing?
*
What is your estimated PR budget?
Please Select
Under $5,000/month
$5,000–$10,000/month
$10,000–$20,000/month
Over $20,000/month
Not sure yet
Preferred start date for PR activities
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
How did you hear about us?
Please Select
Referral
Search engine
Social media
Event or conference
Other
Please select your preferred time for the discovery call.
*
Is there anything else you’d like us to know before the call?
Schedule Discovery Call
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