Salterra Discovery Form

Name*

First Last

Company Name*

Phone*

Email*

Current Web Address (URL)*

Current Domain & Hosting Provider*

How may we assist you? (check all that apply)*

New / Remodel Website

What would you like your website to do? (Check all that apply)*

Favorite Colors?*

Go Live Date*

List any websites you like here*

Website 1	Website 2	Website 3

Internet Marketing (SEO)

What Type of Site is it?*

WordPress
Site Builder like weebly
I don't Know

Have you used a SEO Company on this site before?*

Yes, We currently have one
Yes, in the past
No

Do you have admin access to the Website?*

Yes I do
No
I have a login but not sure if it is admin

Top 3 Services*

Service 1	Service 2	Service 3

URL of ALL your Social media accounts

List top 3 areas*

Area 1	Area 2	Area 3

city/state/country

List top 3 Keyphrases*

Keyword 1	Keyword 2	Keyword 3

Keywords you want to rank for

Please tell me about your goals for the site

Please tell me about any problems you are having with your site

Graphic / Logo Design

Tell Us What You Are Looking For*

Paid Advertising (PPC=Pay Per Click)

Top 3 Services*

Service 1	Service 2	Service 3

URL of ALL your Social media accounts

List top 3 areas*

Area 1	Area 2	Area 3

city/state/country

List top 3 Keyphrases*

Keyword 1	Keyword 2	Keyword 3

Keywords you want to rank for

Tell me about your goals for this campaign Including # of leads per month you are wanting

Reputation Management

Describe the Issue*

What Search Term Did You Use?*

How did you find the bad review

What Browser Did You Use?

Internet Explorer, Chrome Firefox

When Was The Last Time You Saw The Review?

Which Pages To Remove

Which Review Sites to Improve

What have you done to improve or remedy your reviews

What is your current budget?*

How Did you hear about us*

Web Search
Social Media
Other Ad
Referral

Who Referred You?*

Questions or Comments