Client Intake Form

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Project/Client Information

First Name:*

Last Name:*

Co. Name:

Contact Phone:

Email:*

Client Address:

Subject:*

Company team member(s) we will be collaborating with on questions, content, via text, phone or email.

Collaboration Contact:

Contact Phone:*

Contact Email:*

Skype ID:

Admin/ IT Person

Contact Name:

Contact Phone:

Contact Email:

Skype ID:

Project Description:

Social Platforms Used:

Current Web and Social Media Accounts

Website 1:

Website 2:

Blog URL:

Blog Username:

Blog Password:

Twitter:

Twitter Password:

Facebook Page:

Linkedin:

Linkedin Password:

Google+:

Google+ Password:

Instagram:

Instagram Password:

YouTube:

YouTube Password:

Other:

Brand/Messaging

Client Specializes In:

Client is Known For:

Better than competition because:

Current Tag Line:

Client Mission Statement:

Client is remarkable and unique because:

Audience/Competitors

B2B

B2C

Current Effective Marketing Source(s):

Current Customer Profile:

(Age/Gender/Income/Locale/Etc. – Demographics/Psychographics – Who are their current customers?)

Target Prospect Profile:

Top Competitors:

Obstacles/Challenges

Known project obstacles/challenges related to client, market, industry or audience:

Client Deliverables

High Res logo received:

10 or more product images:

Office/Location images:

Other creative images:

Examples of other social pages to emulate:

CAPTCHA Code:*

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