Thank You for your Interest!
Please complete the form below so we can get to know you and assess if and how we can help.
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What inspired you to reach out?
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What kind of business do you have? What do you do? What do you sell? Who do you serve?
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What is your story? Tell me about your business, how did it start and where you are and where do you want to be?
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How long has your business been running?
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0-2 Years
2-5 Years
5-10 Years
Over 10 Years
How's your business doing?
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Start-up (Just getting started)
Struggling (Stuck in Neutral)
Plateaued (Profitable but not growing)
Successful (Profitable, looking to scale and systemize)
Are you currently using marketing automation in your business?
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Yes (But want to optimize it)
A little (But want to get more setup)
Not at all (But highly interested)
What email marketing / CRM / Marketing automation platform are you using?
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ActiveCampaign
Mailchimp
InfusionSoft
Ontraport
We work predominately with ActiveCampaign, Are you willing to migrate over?
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Yes
No
Not sure, want to learn more about ActiveCampaign
Why marketing automation? Why now?
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Looking for process consistency
Need a strategy in place
Want to create structure
Need to have my Tech stack under control
Leaky funnel (Leads not converting, or too many leads to handle)
Looking to save time
Looking to systemise the team
What is stopping you, slowing you down or getting on the way for you to reach your goals?
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Other Challenges?
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Is automating your business a sooner or later thing?
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Do you have a website?
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Yes
No
Website
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What is the size of your database?
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I don't have one
0 - 1,000
1,000 - 2,500
2,500 - 5,000
5,000 - 10,000
10,000 - 25,000
25,000 - 100,000
Over 100,000
If you had a magic wand, what would your business look like when is done?
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Is there anything you want to try to market your business? Select as many as you want
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Webinars
Lead Magnets
Video Funnels
Surveys / Quizzes
Facebook Ads
LinkedIn Ads
Google Adwords
Do you use any of the below systems? Select as many as you want
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Wordpress
Zapier
Calendly
Workato
ScheduleOnce
Google Apps (G Suite)
Xero
Paypal
Stripe
Woocommerce
Gravity Forms
LearnDash
AcuitySchedulling
What kind of situation are you in right now?
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I want a DIY Solution (I would rather learn it or get my team do it internally)
I want a Done With Me Solution (Do the work myself with specific coaching/guidance)
About yourself, what's your name?
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First
Last
What is your email address? I'd like to send you our Marketing automation guide.
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What is your business name?
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What's your best phone number?
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Where are you based?
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City
State / Province / Region
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antarctica
Antigua and Barbuda
Argentina
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Austria
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Bahamas
Bahrain
Bangladesh
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Belize
Benin
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Bolivia
Bonaire, Sint Eustatius and Saba
Bosnia and Herzegovina
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British Indian Ocean Territory
Brunei Darussalam
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Burkina Faso
Burundi
Cabo Verde
Cambodia
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Canada
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos Islands
Colombia
Comoros
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Congo, Democratic Republic of the
Cook Islands
Costa Rica
Croatia
Cuba
Curaçao
Cyprus
Czechia
Côte d'Ivoire
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Eswatini
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Guiana
French Polynesia
French Southern Territories
Gabon
Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
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Guinea
Guinea-Bissau
Guyana
Haiti
Heard Island and McDonald Islands
Holy See
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Isle of Man
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
Korea, Democratic People's Republic of
Korea, Republic of
Kuwait
Kyrgyzstan
Lao People's Democratic Republic
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macao
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Namibia
Nauru
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Netherlands
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
North Macedonia
Northern Mariana Islands
Norway
Oman
Pakistan
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Palestine, State of
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn
Poland
Portugal
Puerto Rico
Qatar
Romania
Russian Federation
Rwanda
Réunion
Saint Barthélemy
Saint Helena, Ascension and Tristan da Cunha
Saint Kitts and Nevis
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Samoa
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Senegal
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South Georgia and the South Sandwich Islands
South Sudan
Spain
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Sudan
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Svalbard and Jan Mayen
Sweden
Switzerland
Syria Arab Republic
Taiwan
Tajikistan
Tanzania, the United Republic of
Thailand
Timor-Leste
Togo
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Tonga
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Turks and Caicos Islands
Tuvalu
Türkiye
US Minor Outlying Islands
Uganda
Ukraine
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United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Venezuela
Viet Nam
Virgin Islands, British
Virgin Islands, U.S.
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Åland Islands
Country
Where did you hear from us?
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ActiveCampaign Partners Page
Google Search
Facebook Ads
David Dugan
Dr Jesse Green
A friend
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