Name *

First Name

Last Name

Phone

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How did you find me? *

(select all that apply)

LinkedIn

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Google Search

Presentation

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Referral: write in box below

Other: write in box below

Have you worked with a copywriter before? *

Yes

No

What type of help do you need? *

(select all that apply)

Branding

Concepting

Copywriting

Content Writing

Proofreading

Social Media Writing

Not Sure

Other: write in box below

Are you needing help: *

For a One-Time Project

From an Ongoing Partner

What’s your budget? *

(This will help me determine the services I can offer.)

$250 - $500

$500 - $1000

$1000 - $3000

$3000 - $5000

$5000 - $10,000

$10,000+

Not Sure

Other: write in box below