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Intake form
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Name
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Email address
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What type of business do you operate?
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Retail
Food & Beverage
Service Industry
E-commerce
What is your current business model?
Please select at least one option.
Brick and Mortar
Online Sales
Mobile Sales
Direct Sales
What are your primary goals for converting to a mobile business?
Please select at least one option.
Increase Sales
Expand Customer Reach
Reduce Overhead Costs
Enhance Customer Experience
What challenges are you currently facing in your business?
How soon are you looking to transition to a mobile business model?
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Immediately
Within 3 months
Within 6 months
Within a year
Not sure
What is your preferred method of communication?
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Phone
Email
In-person Meeting
Video Conference
Additional questions or comments
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