SEO Audit Form Complete this form and submit to us. We will then able to assess how we can help you achieve your local marketing goals. Your Business Name(s) and Location(s)Company Name Official / legal name of your business.Name* First Last Job TitleEmailBest email at which to reach you. PhoneBest phone number at which to reach you.Is the above business name the one you plan to use for your Google Places page?*YesNoNot sureBusiness Name for Google Places*Detail the business name as you wish to use in Google PlacesAddressYour business address. Street Address Address Line 2 City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Type of business address Please specify what type of address it is: office, store, home, virtual office, PO Box, etc.How long has your business been located at this address?Do you share this street address with any other businesses (including any other businesses you own)?YesNoIs the above location the only location of your business? If not, please list the addresses of your other locations and what types of addresses they are (office, storefront, etc.).*Where do you do business with your customers: at your address or at theirs?*We do business primarily at our locationWe do business at our customer's locationWe do business both at our location and our customer's locationOffice Phone*Do you use this phone number for any other locations or other businesses?*YesNoPlease list all former / alternate business names, addresses, and phone numbers for the location(s) you’d like our help with.Your WebsiteWebsite URL Is this the only website you use for this business?YesNoIf no, please list your other websites.Do you have the ability to make changes to your website whenever you’d like?YesNoNot sureWho purchased your website hosting and domain name?Have you ever experienced sudden and steep drops in traffic or rankings in Google?YesNoNot surePlease detail the sudden and steep drop in traffic*Do you have any plans to redesign your site, rename your website, rebrand your business, or move to a new business address in the foreseeable future?YesNoNot surePlease describe the planned change(s). If a new site is currently in the works, please write down the URL of the demo / staging site.*Your Google Listing(s)Has your Google Places page ever “disappeared” or taken a severe hit in rankings, to your knowledge?YesNoNot surePlease provide detailsof the loss or drop in rankingsDo you have access to your Google Places page? (In other words, could you make edits to your page right now?)YesNoNot sureWhat are 1-10 keywords for which you’d most like to rank in Google?If you had to pick ONE most-important service or search term to get visible for, what would it be?What is the specific city / geographical area you’d like to be visible in, ideally?How do you currently attract most of your customers / clients / patients? (E.g. word-of-mouth, AdWords ads, etc.)Do you have any notable rankings in Google? If so, please list at least a few keywords you currently rank for.example: dentist middletown, ny, family dentist goshen nyHave you listed your business on sites like Yelp, Angie’s List, etc.? If so, who has the login info for those listings?If we suggested you should ask some of your customers / clients / patients to write reviews for you, how willing would you be to ask them? (Using a scale of 1-10: 1 meaning you refuse to ask, 10 meaning you’re totally motivated.)Please enter a number from 1 to 10.If we recommend that you write a few pages of info about your services, would you or someone in your company be willing to write those pages (with our guidance)?YesNo I would prefer to use copywriting servicesNot sureHave you ever tried to “build links” to your website, or paid someone else to do so?YesNoNot sureYour Marketing GoalsWhat do you consider your biggest marketing challenge?How urgently do you feel you need more customers / clients / patients? (Let’s use a scale from 1-10: 1 being fairly comfortable, 10 being really urgent..)Please enter a number from 1 to 10.What made you want to contact us, and contact us today? This iframe contains the logic required to handle Ajax powered Gravity Forms.