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New Client Application Form
Fill this out and I’ll get back to you with more information within one business day. All applications are kept in the strictest confidence. Thank you for your interest.
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What's your name?
*
First
Last
What's the best email address to reach you?
*
What's the best phone number to reach you?
Are you the one who will be paying for this work?
Yes
No
Are you the main point of contact that I'll be speaking with on a day-to-day basis?
Yes
No
Can you tell me a bit about yourself?
*
What's the name of your business?
*
Do you have an existing website or e-commerce store?
Yes
No
What's the URL?
In the last 30 days, how many visitors have you had to your site?
In the last 30 days, how many made a purchase on your site?
How many people are subscribed to your email list?
Which best describes you...
We provide a service
We design and manufacture products.
We design products but they're manufactured by another company.
We sell products designed and manufactured by others.
Other
If other please explain.
What do you sell?
*
What's different about your company?
Which of the following activities are you doing now?
Facebooks Ads
Email Marketing
Google Ads
Split-testing
Heatmaps
What's the #1 business goal you're working towards?
Help set up my new site
Design a custom theme
Optimize conversions on my site
Market my site on Facebook
Automate my email marketing
Set up a new premium theme
Something else
If something else please explain.
Can you presently afford to budget gruntmonkey as a partner in growing your business?
Yes
No
To view our rates please see https://gruntmonkey.com/pricing
Anything else you'd like to tell me?
Lastly, how'd you hear about gruntmonkey?
Google Search
Linkedin
Referal
Other
If Other please explain
Almost done... Thanks for taking the time to fill out this brief application. Your responses will help us have a more productive initial consultation. Talk soon, -Jason
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