Name
*
First Name
Last Name
Email Address
*
Phone
*
(###)
###
####
Position
*
Organization's Name
*
Address
*
Address 1
Address 2
City
State/Province
Zip/Postal Code
Country
Email
*
Industry
*
Advertising
Agriculture
Banking
Communications
Construction
Consulting
Entertainment
Finance
Food and Beverage
Governmental
Health Care
Insurance
Investment
Manufacturing
Non-Profit (Charity)
Non-Profit (Religious)
Real Estate
Retail
Technology
Trade
Transportation
Other
If 'other', list below
What is your company good at?
*
What the people in your company’s community (your audience) care about, and why?
*
What you want your company to be when it grows up (still applicable for mature organizations).
*
What is your company’s brand identity?
*
Colors, slogans, personality (relaxed, formal, flashy, luxury) etc.
List 5 adjectives that describe how you want your organization to look and sound when communicating
*
What are your 5 top values?
*
Name
*
Age
*
Gender
*
Male
Female
Ethnicity
*
Asian
Black or African American (non-Hispanic)
Hispanic
Native American
White
Other
If 'other' list below
Marital Status
*
Single
Engaged
Married
Divorced
Widowed
Highest Level of School Completed
*
High School
Trade School
Some College
Associate's Degree
Bachelor's Degree
Master's Degree
Doctorate or Professional Degree
Hobbies/Leisure Activities
*
Number of Kids
*
None
One
Two
Three
Four
Five+
Where do they shop?
*
Grocery stores, department stores, etc
Social Networks They're Active On
*
What Industry Do They Work In?
*
What Is Their Job Title
Annual Income
*
Unemployed
$25k - $50
$51k - $75k
$76k - $100k
$100k - $250k
$250k+
Brands/Tech they like
*
Eg: Apple, Nike, Starbuck's, etc.
What Drives Them?
*
Biggest Challenge(s) They Face
*
Name
*
First Name
Last Name
Age
*
Gender
*
Male
Female
Ethnicity
*
Asian
Black or African American (non-Hispanic)
Hispanic
Native American
White
Other
If 'other' list below
Marital Status
*
Single
Engaged
Married
Divorced
Widowed
Highest Level of School Completed
*
High School
Trade School
Some College
Associate's Degree
Bachelor's Degree
Master's Degree
Doctorate or Professional Degree
Hobbies/Leisure Activities
Number of Kids
*
Where do they shop?
*
Grocery store, department store, etc.
Social Networks They're Active On
*
What Industry Do They Work In?
What Is Their Job Title?
Annual Income
*
Unemployed
$25k - $50
$51k - $75k
$76k - $100k
$100k - $250k
$250k+
Brands/Tech They Like
*
Eg: Apple, Nike, Starbuck's, etc.
What Drives Them?
*
Biggest Challenge(s) They Face?
*