Martin Riley T/A Quantum Consultancy Services

Thank you for your interest in my IMPACT small business support service.

Please complete this questionnaire to tell me a bit about yourself, your business, and your goals. Your answers will help me to determine whether or not we'd be a good fit to work together.

* indicates required

Email Address *

First Name *

Last Name *

Company Name *

Website

Please include the full website address (e.g. http://www.yourwebsite.com).

Contact Phone Number *

Business Type *

Company Size *

1 - 10
11 - 25
26 - 50
50 +

Sector / Industry *

Please describe the sector or industry your business operates in.

Describe what you do *

Please describe what you do in as much detail as possible.

Describe Your Passions *

Please describe the parts of your business that you're most passionate about and why.

Objectives *

What goals do you want your business to achieve over the next 12 months?

What is your current annual marketing budget? *

Please give an approximate figure (in GBP - pound sterling, without the £ sign) for all forms of marketing you use.

Position *

Owner
Director
Manager
Other

Please indicate you position in your company.