Please fill out this form thoroughly. If questions are left blank, you will be prompted to fill them in before submission will be accepted. Upon receipt of the completed form, someone from our office will be in contact with you.

COMPLIMENTARY CONSULTATION REQUEST/
PROSPECTIVE CLIENT QUESTIONNAIRE

Your Name (required)

Your Email (required)

Your Address (required)

Your Phone (required)

Were you referred to us by a colleague of ours:
YesNo

If yes, by whom: (mark "N/A" if applicable)

Brief Bio (required)

Project Description (required)

Project Goals (required)

What are your expectations of our role in accomplishing your goals? (required)

Project Status: Please tell us a little about the current state of your project. (required)

What types of activities are you interested in:
(Please select all that apply.)

Literary Development Services
YesNo

Business Modeling Consultation
YesNo

Public Relations & Marketing
YesNo

How long do you plan to be vested in this project? (required)

Ideally, when would you like to start working together? (required)

What is your overall budget for this project? (required)

Additional Comments: