CLIENT INTAKE FORM|SM [pdf url=’http://search.optimizex.com/pdf_download/formdownload.php’ sec=’3′] BASIC COMPANY INFORMATIONCompany Description (Provide us with basic information about your company that we will use in the campaign.)Company Name (Provide us with the official, legally recognized name of your business.)Name of the Owner (Give us the complete name of the owner, including the middle name and designation i.e. DDS, MD, Atty.)Company Tagline Main Business Goals Address Street AddressApt, Suite, Bldg. (optional)CityState / Province / RegionPostal / Zip CodeAfghanistanAlbaniaAlgeriaAndorraAngolaAntigua and BarbudaArgentinaArmeniaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBhutanBoliviaBosnia and HerzegovinaBotswanaBrazilBruneiBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCentral African RepublicChadChileChinaColombiaComorosCongo (Brazzaville)CongoCosta RicaCote d\'IvoireCroatiaCubaCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEast Timor (Timor Timur)EcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFijiFinlandFranceGabonGambia, TheGeorgiaGermanyGhanaGreeceGrenadaGuatemalaGuineaGuinea-BissauGuyanaHaitiHondurasHungaryIcelandIndiaIndonesiaIranIraqIrelandIsraelItalyJamaicaJapanJordanKazakhstanKenyaKiribatiKorea, NorthKorea, SouthKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMauritaniaMauritiusMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew ZealandNicaraguaNigerNigeriaNorwayOmanPakistanPalestinian TerritoryPalauPanamaPapua New GuineaParaguayPeruPhilippinesPolandPortugalQatarRomaniaRussiaRwandaSaint Kitts and NevisSaint LuciaSaint VincentSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSpainSri LankaSudanSurinameSwazilandSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTogoTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited States of AmericaUruguayUzbekistanVanuatuVatican CityVenezuelaVietnamWestern SaharaWestern SamoaYemenZambiaZimbabweCountryWhere do you conduct business with your customers? (Please include all your active business e-mails, which we might need for verification purposes.)Business E-mail address (Please include all your active business e-mails, which we might need for verification purposes.)Working Office Number/sPrimary Company Phone Number Secondary Company Phone Number Fax Number Website URL (Please provide the primary web address of the company site.)Business Category (How would your business be categorized in a phone book or a business directory?)Category 1 Category 2 Category 3 Services Offered (Give us an idea of what services you are offering, how they work, and rank them according to priority.)Primary Product/Service Secondary Product/Service Additional Products or Services Notes Which among your products/services are offered seasonally or for a limited time only? Does your company or brand have a distinct personality or voice? (If so, would you like to reflect that personality in every aspect of the campaign?)Geographic Target Market Your target market is the group that you want your campaign to reach. The more we you know who your consumers are, the better we can forecast their reaction and make it easier to plan your campaign. (Are you offering your services to a particular age group, income bracket, gender, or social status i.e. women in their twenties and thirties or middle income families?)Service Areas (What specific geographical area/towns/cities/localities are you targeting? Please provide the zip codes, if possible.)Target City 1 Target City 2 Target City 3 Additional Target Cities What is your community like? (Is there anything else that you would like for us to know about the community wherein you provide your services?)Keywords Give us at least ten (10) local search terms or keywords that you want to rank in Google? (This is to give us an idea of your personal goals; we will then let you know which keywords, based on keyword analytics, can help you rank well in Google.)How urgent is your need for enhanced online local visibility? (Choose from a scale of 1 to 10, 1 being urgent and 10 being fairly comfortable.)12345678910Top Three Competitors (List the top three ranking competitors that are located within your geographic target market that you would like to outperform.)Competitor 2 Competitor 1 Competitor 3 What product/service/attribute/equipment sets your company apart from these competitors that you may want us to highlight or promote? (You may provide more than one.)When was your business established? (Please provide the month, date, and year.)Additional information you’d like to share: (List any information that could help us increase your website’s online presence. You may also send us PDF files or links to any news or site that you would like for us to look into.)Additional Information File Upload Social MediaWhat’s the initial purpose of your campaign? (This will help us know what the focal point of your Campaign should be.)Advocacy Generating Market Sales (Increasing sales) Brand Awareness (Getting your brand known) Others What is your Social Media Campaign about? (We need to identify what category your Social Media Campaign will be.)Invitation (e.g. events, store opening, product launching)Promotion (e.g. product highlight, campaign marketing)Sales Treats ( e.g. coupons,SALES, privilege cards)Others Do you know how a Social Media Campaign works? (We need to know if you have any familiarity regarding social media campaigns so that we can prepare a report that will align with your understanding and terms.) YesNo I’m not familiar with Social Media Campaign.I only have a limited idea. What I know about Social Media Campaign is: Have you had any social media campaign done before? No. (Is there a website or page that you would want your campaign to be patterned after?)Yes. (What type of social media campaign have you had before? Would you like your campaign to be done in the same way?)Would you like to hear suggestions regarding the direction of your social media campaign? YesNoDo you have any existing social media accounts? FacebookTwitterGoogle+LinkedinDo you want to buy likes and followers for your social media account? (Page visitors usually consider a page’s number of likes and followers as a basis for its credibility. Around 70% of page visitors are consumers while 30% are viral mediums that can help increase brand awareness.)If Yes. How many? 1000+2000+3000+Others(specify) Would you like us to provide comments on your social media pages? (Comments can initiate discussion among visitors and followers, not to mention attract page traffic that is essential in building your company’s image and credibility.) YesNoOthers(specify) What kind of tone do you want your social media posts to sound like? (Style of writing should match the needs and abilities of your clients, particularly the level of comprehension they have about your product.)Casual (This includes puns and humors)Formal (Business/Executive)Do you want your social media posts to be sent to you for approval before publishing Online? Yes. (We would normally send you the content via e-mail, but we will need your approval within 24 hours, otherwise we will consider your non-response as approval and publish the content.)No. (This would mean that all content would be automatically posted on the business website.)Others(Specify) Would you be amenable to providing us something for your social media campaign? (More personal posts coming directly from you i.e. a weekly updates, recent company developments, etc)YesNoOthers(Specify) Is it ok if we use hashtags on posts? (Hashtags are specific keywords that are created and used in Facebook and Twitter to find and promote a certain topic. Inserting a hashtag on your post would allow any person who types that keyword on the search bar to find your post among the list of threads that are discussing that particular topic. This will help improve your page’s visibility in social media networks.)If Yes what are your preferred hashtags? Give us at least 3. (Example: #Eye #eyecare)SectionIndicate which among the following you would want to include on your posts: PollsEngaging Conversations (Unsolicited opinions that are directed to outside commenters)TriviaNews Updates (Trending news and conversation inside the social media)VideosOthers(Specify) Aside from Facebook and Twitter, what other social media platforms would you want your campaign to be in? (Do you want another platform for your Social Media Campaign? An additional social media account boosts the chances of reaching more viewers and potential clients.) Google+LinkedinPinterestOthers(Specify) Do you have any special requests for this social media campaign that have not been tackled? (If so, please provide.)Text VerificationPlease enter any two digits *Example: 12This box is for spam protection - <strong>please leave it blank</strong>: