Consultation Request Form

Please complete the attached form, return it to me as soon as possible and we’ll take it from there.

Name

Website

Company Name

Physical Address of business

Business Industry

Telephone Numbers (Landline and cell phone)

How did you hear about us?

Why did you choose to contact us?

How do you prefer to communicate? Email, phone, in person?

Do you use the Internet to research suppliers or products? If yes, how do you search for information?

Describe a recent purchase: Why did you consider purchase? What was your evaluation process? What was the deciding factor?

Your requirements: Ongoing (month to month)/Project Basis/One time (immediate project) Please provide details of project you need help with

Which best describes your interest level? Need an Admin partner right now/don't need anyone right now but would like to know more

When do you want our services to start?

Describe your work style - are you able to delegate easily?

Describe your work style (driven/laid back/last minute/frantic/organised)

What are your biggest challenges right now?

What Admin support do you currently have?

What non-revenue generating parts of your workload do you find eating up most of your time, attention and energy?

What specific areas of support do you think you need help with? Do you currently have a To Do List of tasks or work you would like support with?

How committed are you to getting support?

The time to act is now! Why wait? Contact me now!

Call me on: 082-330-0553