Questionnaire for Local Business Services
Country of Operation : *
Company/ Organization Name : *
Contact Name : *
Street Address :   
Town/City : *
State : *
Region : *
(Ex: Greater Los Angeles, King County, Western New York, etc – How do people most often refer to your local area?)   
Zip : *
Phone : *
Email Address : *
Website Address :   
(if any)   
Type of Business : *
(e.g. Dentist, restaurant)   
Preferred time to get verification call :   
(Please state a time between 9:00 AM to 10:00 AM PST)   
Business Description :   
Your Unique Value Proposition :   
List three main competitors :   
List three things about your business that makes you stand out compared to competition :   
Tell us about your target market / typical customer :   
What words do you think they may be using to search for your products and services online :   
Are there specific services you offer that you would like to highlight :   
What kinds of marketing efforts have you conducted in the past :   
Business Hours : *
Target Cities For Business : *
((e.g.: Tustin, Anaheim, Santa Ana…)   
Office Address of Other Business Location :   
Phone No. of Other Business Location :   
Additional Information :   
Business logo pictures of you or your business :   
Video links of your business :   
(if any)   
Links/Accounts on Other Local Sites :   
((e.g.: Yelp, Superpages, InfoUSA, ...)   
Social Media Account Details :   
((e.g.: Twitter, facebook, linkedin, ...)   
Type of marketing :   


Company Representative Name :   
Company Representative E-mail Address :   
E-mail Details :   
Ex: SMTP Credential (User Name and Password)
Sales Person :   
FTP URL :   
User Name :   
Password :