Marketing Request Form Date MM slash DD slash YYYY Name First Last Email Type of Business Website Blog Social Media PresenceFacebook Twitter Instagram LinkedIn YouTube Other Social Media Other Social Media Other Social Media How Do You Feel About Social Media? I LOVE it! I HATE it! I'm indifferent to it. I know it's a necessary evil. Other OtherWhat's Your Level of Expertise With Social Media? I know enough to be dangerous. I'm a social media pro. I know nothing about social media. I'm pretty good at it. Other OtherWhat Do You Most Need Help With?What is Your Goal for Your Marketing Program?How Would You Like to Work? Done for You: I just want to outsource my marketing. DIY + Coaching: I'd like to do it myself with periodic coaching. Δ