First Name (required)
Last Name (required)
Your Email (required)
Contact Number
Company Name
What Industry Are You In?
What Type Of Business Do You Own?
How Long Have You Been In Business?
What Services Do You Provide?
Are You The Company Owner?
If NO, What Is Your Position?
What Services Are You Interested in Obtaining From MindSurf? (Please Check All That Apply) Website Design and DevelopmentE-Commerce Store DevelopmentCopywriting and Content Development such as for a website, blog, e-newsletters, social media, articles, e-book, etc.Strategic Branding and Logo Development, etc.Social Media MarketingSearch Engine OptimizationMobile App DevelopmentWeb App DevelopmentBusiness and General Marketing WritingPrint Materials such as Brochures, Newsletters, etc.Strategy ConsultingGraphic Design workBook CoversE-Book PublishingWebsite HostingCustom Email HostingDomain Names
Other Services?
What Are Your Goals For Your Project? How Likely Are You To Make A Hiring Decision? Please SelectI'm ready to hire now!I'm likely to hire someoneI will possibly hire someoneI'm planning & researching Do You Currently Have A Website? YESNO
If YES, what is the URL (Address)?
Are You Happy With Your Website? YESNO
If NO, What Are Your Issues With Your Website?
If Applicable, Which Platform Do You Want For Building Or Re-Doing Your Website?
Do You Have An Appropriate LOGO For Your Business That You Are Happy With? YESNO
Have You Ever Had Professional Branding Done For Your Business? YESNO
If NO, Would MindSurf Be Doing Your Branding From Scratch? YESNO
Do You Have Recent Professional Copywriting That We Can Use For Your Project? YESNO
Do You Have Recent High-Res Professional Photography For Your Project? YESNO
Do You Currently Have A Website Consultant? YESNO If YES, Why Are You Seeking A New One? (Please Check All That Apply) No longer in businessUnable to meet our needsToo expensiveNot available when neededUnreliableDoes not provide good customer serviceI do not feel as though consultant cares about my businessThey are too limited in services for my business growth plans
Other Reason?
What Is Your Estimated Budget? Please Select$1,500 - $2,500$2,500 - $3,500$3,500 - $4,500$4,500 - $6,000$6,000 - $9,500$9,500 - $12,000$12,500 and above
When Would You Like Your Project Completed? Please SelectASAPWithin a few weeksWithin 1-2 monthsWithin a few months
How Did You Hear About MindSurf?
Any Comments?
Your information will never be shared with or sold to any 3rd party. It is strictly for the use of MindSurf in exploring your interest in our services.
