Customer Intake

Please fill out the customer intake form below and click “submit”

E-mail Address: *

Your Name or Business Name *

Phone Number

Website

Time Zone

Please check everything that you need assistance with

Article Submission
Audio/Video Posting
Blog Setup / Customization
Calendar / Schedule Management
Customer Service
Database Management
Email Broadcasting / Autoresponders
Event Management
Online Research
Power Point Presentations
Project Management
Website Maintenance / Editing
Shopping Cart Administration
Systems Management
Website Maintenance / Editing
Word Processing / Excel

Tell me a bit about your business. What do you offer? Who is your market?

Do you have any specific tasks or projects that you would like to complete?

Who do you currently have under contract or on staff? And what do they do for your business? i.e. Web Designers other VAs, etc.

How many hours per month do you anticipate needing from a VA?

What is your monthly budget for VA Services (in USD)?

Please share any other information that you would like me to know about your business.

How did you hear about Business Assist?

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