| Needs Assessment |
| * Your
Name: |
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| Your Title: |
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| Your Company Name: |
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| * Your Phone Number
(please include any extension) |
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| * Your Email Address: |
|
| Over the next 12 months, approximately how many
households would you like to contact through this
telemarketing campaign? |
|
| If you know the specific # of households, please
enter it here (e.g. 42,500) |
|
| * What is your estimated
weekly budget for this campaign? (Note: actual cost
will depend on the exact campaign details) |
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| * What
are the primary goals of your campaign? (check all
that apply) |
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| Campaign Details |
| * What
type of audience are you targeting? |
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| * Please
describe in detail your target audience and campaign. |
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| * When would you like
your campaign to begin? (mm/dd/yyyy) |
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| Approximate completion date, if applicable (mm/dd/yyyy) |
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| *
Which of the following services will you need from
us? (check all that apply) |
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| *
What functions will you need our representatives
to perform? (check all that apply) |
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| If you are switching from an existing telemarketing
provider, please explain why |
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| General Information |
| * When do you plan
to purchase? |
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| Please provide any additional information about
your needs and preferences |
|
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