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Your Confidential Application:
Full Name
Phone Number
Email Address
I have a business plan written down for the next 12 months
Yes
No
Not Sure
I have a marketing plan written down for the next 12 months
Yes
No
Not Sure
I have a pretty good understanding of what public relations is and what it can do for me or my company.
Yes
No
Not Sure
I have the following budget available to spend on public relations
Yes
No
Not Sure
I value the following public relations campaigns accordingly from 1 being least important to 11, being very important
Product Launch
1
2
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7
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9
10
11
Celebrity Endorsement
1
2
3
4
5
6
7
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9
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11
Lead Generation (finding more clients)
1
2
3
4
5
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9
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11
Increasing Social
Media Fanbase
1
2
3
4
5
6
7
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9
10
11
Soliciting an Agent
1
2
3
4
5
6
7
8
9
10
11
Booking Speaking
Engagements
1
2
3
4
5
6
7
8
9
10
11
Establishing Connections in my Industry
1
2
3
4
5
6
7
8
9
10
11
Enhancing my Image
1
2
3
4
5
6
7
8
9
10
11
Securing Press Placements in the News (TV, Radio and Print)
1
2
3
4
5
6
7
8
9
10
11
Revising my Logo, Website and Corporate Statements
1
2
3
4
5
6
7
8
9
10
11
Securing Sponsorships
1
2
3
4
5
6
7
8
9
10
11
How did you hear about this Strategy Session offer? Be Specific. Also, have you worked with [your name] in the past? If so, when?
What do you hope to accomplish from gaining more publicity for your brand
How confident are you that you will accomplish your goals?
What affects your
What training, coaching, or consulting have you invested in?
How ready are you to invest in transforming the future of your business?
Emotionally
10 - Totally 100% ready!
9
8
7
6
5
4
3
2
1 - Not ready at all.
Financially
10 - Totally 100% ready!
9
8
7
6
5
4
3
2
1 - Not ready at all.
Mentally
10 - Totally 100% ready!
9
8
7
6
5
4
3
2
1 - Not ready at all.
Physically
10 - Totally 100% ready!
9
8
7
6
5
4
3
2
1 - Not ready at all.
How likely is it that you would recommend Zebra Public Relations to a friend or colleague?
1
2
3
4
5
6
7
8
9
10
11
I have some comments
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