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Please enter as much information below as you can. We will use this information to create or improve your online listings.

Name*
First Last
Website ( if you dont have one, just enter 'our' website, URL in this space ... ) dont forget the http://*
Your Best Email*
Best Phone Number to Contact You
Tell Us About Your Business*
Why would your customers choose to buy from you over your competitors? (be specific about your Value proposition)*
What is the typical sales process/cycle? EX: customer calls, then fills form, then sets appointment etc*
What are the short and long term goals of the company?*
What product or service would you like to sell more of?*
What is the average Lifetime value of your average customer or contract? This is your profit over the retention term of that customer. (This helps us to determine your marketing ROI for you)*
Who is your ideal client?*
What knowledge of SEO exists within the company?*
- None
- A little
- A lot
Have you had previous SEO on your site? If so, please check the investment level.*
- Under $500 per month
- Under $1000 per month
- Over $1000 per month
Please write as many keywords as you can think of that you would like to target online. (Keywords are words typed into google that your website will be visible for, example “Dallas Chiropractor”*
Separate keywords with a comma (,)
Please list radius and specific city or cities you would like to target. If your targeting national, just type in the United States*
How many additional customers would you like to acquire a month? Please set a number.*
Are you doing any other forms of marketing. Check all that apply*
- PPC Adwords (Pay Per Click)
- SEO (Organic Search Engine Optimization)
- Social Media and/or Video Marketing
- Offline Print, Radio, Media
- Email Marketing
- RTB (Real Time Bidding)
What would you say has been your most effective advertising method?
What would you say has been your least effective advertising method?*
Do you offer any special promotions to new customers? If so, what are they?*
Who is your competition?*
What is your budget range for getting new customers?*
What is your biggest concern working with a company for online marketing?*
What is the biggest challenge you are facing right now in your business? (Example: increasing revenue, getting new leads, dealing with negetive customers, managing social media, workflow management ...*
How is this challenge affecting you and your business?*
On a scale of 1 - 10, how prepared are you to invest in resolving this issue? A 10 indicating you're very prepared, provided we present you with an viable solution, of course.*
Please enter a number from 1 to 10.

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Furlong SEO Marketing Corp.

Ontario, Canada

1-800-759-0839

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9 AM - 4 PM

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