Onboarding Onbaording Personal InformationFirst Name* Last Name* Cell Phone Number*Personal Email* Gender Birthday* MM slash DD slash YYYY Name Phone NumberEmail Are you a Doctor? Yes No UntitledYour Company InformationCompany Name* Company Address* Street Address City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country Business Phone NumberBusiness Email* Website Url* This is the web address of your company website How long have you been in business for?* Briefly describe what you would like to accomplish. What is the end result?*What is the #1 challenge you are facing?*What is your approximate budget to accomplish your end result?*What is the average 12 month value of a new Client/Customer/Sale?* What is your competitors business name? (Please add 3) What is your competitors business website? (Please add 3) What 5 things make you unique or better than your competition? Which keywords would you like to target? What niche audience would you like to target? UntitledBrandingBrand Name This is usually the shorter version of your business name that you use for marketingTagline Words that appear next to your brand name (ie. "We Live To Deliver")Company Descrption Please provide a full company description of around 300 characters.Company LogoMax. file size: 32 MB.Please upload in .JPG or .PNG format.Company BannerMax. file size: 32 MB.Please upload in .JPG or .PNG format.10 Photos of Your Place of Business Drop files here or Select files Max. file size: 32 MB, Max. files: 10. External and internal pictures of the office, headshots of management team and candied photos. OR Put the 10 links to the photos here UntitledAccess InformationMaster Email for Account Set Up (**If you have an existing Gmail account for us to use as a master email account, please provide all of the details. If left blank, by default we will create a branded Gmail account as your master account.) Master Email Account Username Password WebmasterName of person in charge of website* We will use the name provided in the account creation process. This is the name that we will use for Google plus Authorship Name Phone Number Email Website / FTP AccessIf you have access to your website please give information below Username Password Url Wordpress Access Username Password Url Security EmailIf possible, remove all associated phone numbers in your existing account and leave the recovery email for us to be able to access your account. Please provide your recovery email in the field provided and the location (city, state) where you usually login. City State Social Media/Listings If you have any below social media or listings please provide information.Google Plus Business Page Username Password Link Facebook Username Password LInk Twitter Username Password LInk Instagram Username Password LInk Bing Username Password LInk Yelp Username Password LInk Yahoo Username Password LInk Kudzu Username Password LInk Insiderpages Username Password LInk Other AccountIf you have any other existing Social media accounts, social bookmarking accounts, offsite blog accounts or local listings, please provide the URL and login details. Username Password Link Other AccountIf you have any other existing Social media accounts, social bookmarking accounts, offsite blog accounts or local listings, please provide the URL and login details. Username Password Link Other AccountIf you have any other existing Social media accounts, social bookmarking accounts, offsite blog accounts or local listings, please provide the URL and login details. Username Password Link Other Requirements?Are there any specific requirements you would like us to meet in line with our agreed to package line items? UntitledPurchased ServicesProducts* SEO Local & Organic SEO Reputation Marketing Search Engine Optimization (SEO)Keyword Ideas Top 4 services you provideBiggest money makers for products and services you want to focus on Have you ever had previous work done for your website?Please describe: If so, we need to know as much about this as possible, including keywords targeted, specific pages targeted, plus any SEO or Analytics reports (such as Google Analytics) you have so that we can build on top of the good work done, and help offset any troublesome areas.Multiple WebsitesIf you have multiple websites please provide us with the URL’s to each site. Priority Target CitiesWhat cities would you like to target 3 Local Competitors Websites Reputation MarketingHow do you currently get feedback from your customers? What experience do you have asking for reviews? Are there any issues with your reputation that you would like us to know? Untitled Δ
