Business Name

Primary Contact Name

Telephone

Email Address

Website URL

Who Is Your Webmaster?

Who writes your content?

Who administers your email?

Do you have access to your website including the domain, the server, and the website dashboard? (Ability to sign in)

Social Media Accounts - Check All That Apply Social Media Accounts - Check All That Apply Facebook Google Plus Twitter LinkedIn Pinterest YouTube Instagram LinkShare

Have You Run Google Adwords Campaigns? Have You Run Google Adwords Campaigns? Yes No

Have You Run Facebook Ad Campaigns? Have You Run Facebook Ad Campaigns? Yes No

Have You Run YouTube Ad Campaigns? Have You Run YouTube Ad Campaigns? Yes No

Have You Run Instagram Ad Campaigns? Have You Run Instagram Ad Campaigns? Yes No

Have You Run Ad Campaigns on Apps and Games? Have You Run Ad Campaigns on Apps and Games? Yes No

Have You Run LinkedIn Ad Campaigns? Have You Run LinkedIn Ad Campaigns? Yes No