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Digital Marketing Impact 360 (DMI-360)
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Intake form
Tell us about your organization and goals.
Name
*
Email Address
*
Phone number
What challenges are you currently facing?
*
Industry
*
What is your business type? (Select one)
Select
Retail
Restaurant
Service Provider
E-commerce
Non-Profit
Company size (Select one)
Select
Solo / early-stage
Small team (2–10)
Growing organization (11–50)
Established organization (50+)
Are you the decision-maker for this initiative? (Select one)
Select
Yes
Shared decision-making
Influencer / contributor
Not sure
What best describes what you’re looking for? (Select one)
*
Strategy & Growth Planning
Systems, Analytics & Reporting
Project Management & Execution Leadership
AI & Custom Solution Development
I’m not fully sure yet and need help defining the problem
Which type of engagement are you considering? (Select one)
*
Assessment & Planning (clarity, direction, defined outcomes)
Build & Implement (project-based or phased execution)
Ongoing Execution & Optimization (monthly or retainer-based)
Not sure yet
Which best describes the level of support you’re seeking? (Select one)
*
Strategic direction and advisory support
Hands-on execution with shared ownership
Full execution ownership and delivery responsibility
Not sure yet
Which areas are part of this initiative? (Select all that apply)
*
Please select at least one option.
Strategy, prioritization, or growth planning
Marketing operations or execution support
Analytics, dashboards, or measurement frameworks
Project management and cross-functional coordination
Systems integration or tooling
AI workflows or custom operational solutions
When are you looking to move forward? (Select one)
*
Immediately (0–30 days)
Near term (30–90 days)
Exploring / future planning
What is your preferred method of communication? (Select one)
Email
Phone
In-Person
Video Call
Additional questions or comments
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