Google AdWords Intake Form

What is your first name?

What is your last last name?

What is your email?

What is your phone number?

What is your company name?

What is your monthly AdWords budget?

What services or keywords do you want to advertise?

What is your website URL?

Are your services currently listed on your website?
YesNoI don't know

Do you need a landing page for your ad?
YesNoI don't know

What are your goals of the campaign? (Select all that apply)
Generate more phone callsGenerate more website trafficIncreased sales

Who are your top 3 Competitors? (please include website URLs)

Who is your target audience? (Select all that apply)
FemaleMale18-25 years old26-34 years old35-44 years old45-60 years old60+ years old
What is your outreach? You can use zip codes, cities, and/or states.

Anything else we should know? (optional)

Δ