New Client Questionnaire New Client Questionnaire Question Title * 1. Company Name: Question Title * 2. Contact Name: Question Title * 3. Title: Question Title * 4. Phone: Question Title * 5. Email: Question Title * 6. Corporate Office Address: Address 01 Address 02 City State Zip Question Title * 7. Website: Question Title * 8. Referred by (Name, Company and Title): Question Title * 9. What are your current annual sales? Question Title * 10. How long have you been in business? Less than 1 year 1 to 3 years 4 to 5 years 6 to 10 years 11 to 20 years 20+ Years Question Title * 11. What customers do you have distribution at today (if applicable)? Question Title * 12. Within what categories do you sell products? Question Title * 13. Channels of Interest (select all that apply): Baby Club Convenience Drug E-Commerce Electronics Foodservice Grocery Home Improvement / Hardware Mass Military Natural / Specialty Pet Telecom Value / Dollar Other (please specify) Question Title * 14. In-store Brand Activation (select all that apply): Retail Project Work Retailer Sets Continuity & Merchandising Coverage Question Title * 15. Shopper Engagement (select all that apply): Assisted Selling or Associate Training Brand, Marketing and Sales Consulting Consumer and Shopper Advanced Research Digital Media Experiential or Event Marketing Promotional Merchandise Sampling Campaigns Other (please specify) Question Title * 16. What is your distribution model (select all that apply)? Direct to Warehouse Distributor Network Direct Store Delivery Question Title * 17. Do you have a current agency relationship for the service for which you are inquiring? No Yes Question Title * 18. What key information would you like to know about GET Marketing? Question Title * 19. What opportunities are you looking for GET Marketing to assist you with? Question Title * 20. What is your timeline for representation? Question Title * 21. Please provide any additional information you would like us to know. Done