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* First Name
* Last Name
* Email
* Phone Number
* Website

*Type of Business

* Are you currently advertising in Google?

Yes
No

* What is your monthly advertising budget?
Less than $500/month
$500 to $999/month
$1,000 to $2,999/month
$3,000 to $4,999/month
$5,000 to $9,999/month
$10,000 to $14,999/month
$15,000 to $19,999/month
More than $20,000/month
I don’t know

* Are you looking to hire a Digital Advertising Agency?

Yes, I’m looking to hire an agency
Maybe, I’m researching my options
No, I’m happy with our agency
No, we’re managing our ads in-house

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