About You +

Your Business

First Name *

Last Name *

Business Name *

Website

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Phone *

Email *

How long have you been in business?

Just Starting (0-6 months)
Early stage (6 months - 2 years)
Established (2-5 years)
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Your Needs

What's your biggest challenge right now when it comes to marketing your business?

What would success look like for you 6 months from now?

Are you ready to invest in your marketing growth?

Yes, but I have a small budget
Yes, and I have the capital
Not yet, but soon
I can invest time right now, but not money
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What's your ideal timeline to get started?

Ready to start immediately
Within the next month
1-3 months
3-6 months
Just exploring options
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How did you hear about Blue Steele Media? *

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Networking Source

Coffee Shop Connection
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If you were referred, who sent you our way?

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