Name

Email Address

Do you have a Chief Marketing Officer? Do you have a Chief Marketing Officer? Yes No

How long have they had the job? How long have they had the job? less than 6 Months less than 1 year less than 2 years less than 5 years More than 5 years

No one lasts over 5 years. Go back and change your answer or we're done here. No one lasts over 5 years. Go back and change your answer or we're done here.

Who is your audience? (check all that apply) Who is your audience? (check all that apply) Direct to Consumers Business to Business Non Profit Unintentional Non-profit Politicans (Lobbyist) Voters (Politicians, influenced by above Lobbyists)

Gross Annual Sales in Dollars (select from list) Gross Annual Sales in Dollars (select from list)less than 1m1-2.5m2.5-5m5-10m10-50m50-100mgreater than 100m

Percent of Ad Budget Wasted (enter 0-100)

Relax, John Wananmaker famously said “Half of my advertising budget is wasted, I just wish I knew which half” Relax, John Wananmaker famously said “Half of my advertising budget is wasted, I just wish I knew which half”

Check all social media platforms you are attempting to support Check all social media platforms you are attempting to support Facebook YouTube Twitter Snapchat TikTok Pinterest Yelp Instagram Trip Advisor Vimeo Our IT guy "maintains the blog" We check our aol.com email each morning

When was the last time your company was written about in the press? (Select) When was the last time your company was written about in the press? (Select)bad shareholders meetingproduct recallrecent bankruptcysweatshop exposédata breachCEO decided to "tell it like it is" on twittermetooembezzlementspokesperson fall from grace (eg. Jared, Tiger, Lance, etc.)environmental terrorismregular terrorism (eg. hobby lobby)corporate mischiefSEC violation(s)

How many agencies have you worked with in the last five years? (enter number)

And you never thought to work with us? Shameful... And you never thought to work with us? Shameful...

Check all agencies you've worked with or asked to pitch Check all agencies you've worked with or asked to pitch Dewey Cheatum and Howe McMann and Tate The Michael and Elliot Company Drentell Ashley and Arthur Sterling Cooper

Hot agency that will definitely get you out of this mess Hot agency that will definitely get you out of this mess Droga5 Mother Crispin Porter Bogusky Zeus Jones Wieden Kennedy TBWA Chiat Day Preacher Broken Heart Love Affair (you can't make this stuff up)

How many years have you been in business? How many years have you been in business? Startup 1-5 5-10 More than 10

How many rebrands has your organization gone through? (count name changes, logos, etc. separately) How many rebrands has your organization gone through? (count name changes, logos, etc. separately) 0 1 2-5 5-10 10 or more

Maybe this whole "starting a business" thing isn't for you. Maybe this whole "starting a business" thing isn't for you.

Things that impress you on an agency tour Things that impress you on an agency tour Beards Ping-pong, foosball, pool table Video games Juice or Espresso Bar Booze English accents at reception desk Awards

Have you worked with an agency search consultant Have you worked with an agency search consultant Yes No What's an agency search consultant

A very large invoice you can no longer afford to pay. That is why you are here, remember? A very large invoice you can no longer afford to pay. That is why you are here, remember?

What is your primary decision-making influence? What is your primary decision-making influence? CEO CMO COO Procurement Best price 20-sided die

This is it. No more fun and games. Hit the button. This is it. No more fun and games. Hit the button.